Atlantis Medical Equipments & Supply Company, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

4862749 Issued in MI

Legal business name

ATLANTIS MEDICAL EQUIPMENTS & SUPPLY COMPANY, LLC

Practice address

30900 Ford Rd
Suite F
Garden City, MI 48135-1892

Phone

(734) 266-0575

Fax

(734) 266-0971

NPI assigned

Jul 23, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Chinwendu Ike Mbanugo, PH.D.

Title

President /Ceo

Phone

(734) 266-0575

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203292800000",
    "number": "1336161272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30900 FORD RD",
            "address_2": "SUITE F",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481351892",
            "telephone_number": "734-266-0575",
            "fax_number": "734-266-0971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30900 FORD RD",
            "address_2": "SUITE F",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481351892",
            "telephone_number": "734-266-0575",
            "fax_number": "734-266-0971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIS MEDICAL EQUIPMENTS & SUPPLY COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2008-02-18",
        "status": "A",
        "authorized_official_last_name": "MBANUGO",
        "authorized_official_first_name": "CHINWENDU",
        "authorized_official_middle_name": "IKE",
        "authorized_official_title_or_position": "PRESIDENT /CEO",
        "authorized_official_telephone_number": "734-266-0575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "4862749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4862749",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Garden City, MI
• Providers in Garden City, MI by specialty
• Durable Medical Equipment & Medical Supplies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.