Provider Demographics
NPI:1174791958
Name:ELITE MEDICAL EQUIPMENT INC
Entity type:Organization
Organization Name:ELITE MEDICAL EQUIPMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GEMAL
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDORABEHE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-956-6772
Mailing Address - Street 1:29217 FORD RD
Mailing Address - Street 2:SUITE 113
Mailing Address - City:GARDEN CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48135-2889
Mailing Address - Country:US
Mailing Address - Phone:734-956-6772
Mailing Address - Fax:734-956-6773
Practice Address - Street 1:29217 FORD RD
Practice Address - Street 2:SUITE 113
Practice Address - City:GARDEN CITY
Practice Address - State:MI
Practice Address - Zip Code:48135-2889
Practice Address - Country:US
Practice Address - Phone:734-956-6772
Practice Address - Fax:734-956-6773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-14
Last Update Date:2008-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI6088380001Medicare NSC