Organization Active NPI

Medic-Air Respiratory and Medical Supplies, LLC

  • Oxygen Equipment & Supplies (DME)
  • Detroit, MI
National Provider Identifier
1447207204
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
332BX2000X Issued in MI
Legal business name
MEDIC-AIR RESPIRATORY AND MEDICAL SUPPLIES, LLC
Practice address
440 Burroughs St
119
Detroit, MI 48202-3429
Phone
(313) 262-7243
Fax
(313) 262-7254
NPI assigned
May 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Ms. Hyla Regenia Clark
Title
Owner
Phone
(313) 262-7243

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 332B00000X MI
Oxygen Equipment & Supplies (DME) 332BX2000X 332BX2000X MI Primary

Addresses

Primary practice location

440 Burroughs St
119
Detroit, MI 48202-3429

Mailing address

440 Burroughs St
119
Detroit, MI 48202-3429
Phone (313) 262-7243

National Provider Directory

National Provider Directory

Locations

440 Burroughs St
Ste 119
Detroit, MI 48202
Phone (313) 262-7243

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1447207204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 BURROUGHS ST",
            "address_2": "119",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023429",
            "telephone_number": "313-262-7243",
            "fax_number": "313-262-7254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 BURROUGHS ST",
            "address_2": "119",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023429",
            "telephone_number": "313-262-7243",
            "fax_number": "313-262-7254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIC-AIR RESPIRATORY AND MEDICAL SUPPLIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "HYLA",
        "authorized_official_middle_name": "REGENIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-262-7243",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "332B00000X",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "MI",
            "license": "332BX2000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.