Avali Medtech LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

AVALI MEDTECH LLC

Practice address

17220 W 12 Mile Rd Ste 111
Southfield, MI 48076-2114

Phone

(313) 948-5354

NPI assigned

Jun 22, 2023

Organization subpart

No

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

Authorized official

Name

Hawraa Nassiri

Title

Ceo

Phone

(313) 948-5354

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687392000000",
    "number": "1467138883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17220 W 12 MILE RD STE 111",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762114",
            "telephone_number": "313-948-5354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17220 W 12 MILE RD STE 111",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762114",
            "telephone_number": "313-948-5354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALI MEDTECH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A",
        "authorized_official_last_name": "NASSIRI",
        "authorized_official_first_name": "HAWRAA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-948-5354"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Southfield, MI
• Providers in Southfield, 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 Jun 22, 2023; 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.