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MICHIGAN ORTHOPEDIC SERVICES LLC NPI 1669459269


NPI Information

NPI: 1669459269
Provider Name: MICHIGAN ORTHOPEDIC SERVICES LLC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 23D2141784

Address:
G1213 N. BALLENGER HWY
FLINT, MI
ZIP 48504
Phone: (810) 239-7475
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MICHIGAN ORTHOPEDIC SERVICES LLC is a durable medical equipment medical supplies in Flint, MI. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. MICHIGAN ORTHOPEDIC SERVICES LLC NPI is 1669459269. The provider is registered as an organization entity type.

The provider's business location address is:

G1213 N. BALLENGER HWY
FLINT, MI
ZIP 48504-435
Phone: (810) 239-7475
Fax: (810) 239-7477

The provider's authorized official is Joe Condon .
The authorized official title is President/ceo and has the following contact phone number (734) 513-8205.

The CLIA number assigned to this NPI record is 23D2141784 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/27/2005 and was last updated on 12/14/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1335E00000XProsthetic/Orthotic SupplierNo
2332B00000XDurable Medical Equipment & Medical SuppliesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13220750MEDICAIDMICHIGAN
20629970003MEDICARE NSC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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