121 Medequip Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

121 MEDEQUIP INC

Practice address

13455 Hall Rd
Utica, MI 48315-5836

Phone

(734) 756-0610

NPI assigned

Dec 19, 2018

Last updated

Apr 3, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rashad Khan

Title

President / Ceo

Phone

(734) 756-0610

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1545177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585872000000",
    "number": "1417429192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13455 HALL RD",
            "city": "UTICA",
            "state": "MI",
            "postal_code": "483155836",
            "telephone_number": "734-756-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13455 HALL RD",
            "city": "UTICA",
            "state": "MI",
            "postal_code": "483155836",
            "telephone_number": "734-756-0610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "121 MEDEQUIP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-19",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "RASHAD",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "734-756-0610"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Emily Anderson
• Vincent G C Anila, MA, LPC

• Durable Medical Equipment & Medical Supplies in Utica, MI
• Providers in Utica, 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 Apr 3, 2020; 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.