Active NPI
Metro Med Corporation
- Durable Medical Equipment & Medical Supplies
- Lathrup Village, MI
National Provider Identifier
1245323823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- METRO MED CORPORATION
- Practice address
- 27224 Southfield Rd
Suite 8
Lathrup Village, MI 48076 - Phone
- (248) 443-0008
- Fax
- (248) 232-1583
- NPI assigned
- Oct 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Vitaliy Grytsyuk
- Title
- Cfo
- Phone
- (248) 495-5339
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | MI | Primary |
Addresses
Primary practice location
27224 Southfield Rd
Suite 8
Lathrup Village, MI 48076
Mailing address
27224 Southfield Rd
Suite 8
Lathrup Village, MI 48076
Phone (248) 443-0008
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4987654 | Medicaid | MI | |
| 54-0-F3-3661-0 | Other | MI | BLUE CROSS/BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
27224 Southfield Rd
Ste 8
Lathrup Village, MI 48076
Phone (248) 443-0008
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1185494400000",
"number": "1245323823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27224 SOUTHFIELD RD",
"address_2": "SUITE 8",
"city": "LATHRUP VILLAGE",
"state": "MI",
"postal_code": "48076",
"telephone_number": "248-443-0008",
"fax_number": "248-232-1583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27224 SOUTHFIELD RD",
"address_2": "SUITE 8",
"city": "LATHRUP VILLAGE",
"state": "MI",
"postal_code": "48076",
"telephone_number": "248-443-0008",
"fax_number": "248-232-1583"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "METRO MED CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-27",
"status": "A",
"authorized_official_last_name": "GRYTSYUK",
"authorized_official_first_name": "VITALIY",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "248-495-5339",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4987654",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "54-0-F3-3661-0",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lathrup Village, MI
- Matrix Pharmacy Lathrup Village
- Maximum Rehabilitation & Health Services
- Yolanda McGuffie, YOGA THERAPIST CIAYT
- Med-Care Pharmacy Inc
- Medical Wigs & Hair Prosthetics
- Metro Physical Therapy
- Monoseta C. Burwell, D.M.D., P.C.
- Lakisha Michelle Moore
- Angel Antoinette Morris, REGISTERED NURSE
- Crystal Joann Mosby, L.L.P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.