Organization Active NPI

Pros-Tech, Inc.

  • Prosthetic/Orthotic Supplier
  • Warren, MI
National Provider Identifier
1750608477
Registry record updated Nov 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
PROS-TECH, INC.
Practice address
13850 E 12 Mile Rd
Suite 2B
Warren, MI 48088-3730
Phone
(586) 541-1040
Fax
(586) 552-8310
NPI assigned
Apr 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2010

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

Authorized official

Name
Mr. Keith E Girardot, C.P.
Title
President
Phone
(248) 680-2800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

13850 E 12 Mile Rd
Suite 2B
Warren, MI 48088-3730

Mailing address

1717 Stephenson Hwy
Troy, MI 48083-2149
Phone (248) 680-2800

National Provider Directory

National Provider Directory

Locations

13850 E 12 Mile Rd
Ste 2B
Warren, MI 48088
Phone (586) 541-1040

NPI Registry JSON

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

{
    "created_epoch": "1271808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289347200000",
    "number": "1750608477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 STEPHENSON HWY",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480832149",
            "telephone_number": "248-680-2800",
            "fax_number": "248-680-2804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13850 E 12 MILE RD",
            "address_2": "SUITE 2B",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480883730",
            "telephone_number": "586-541-1040",
            "fax_number": "586-552-8310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROS-TECH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-21",
        "last_updated": "2010-11-10",
        "status": "A",
        "authorized_official_last_name": "GIRARDOT",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-680-2800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.P."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; 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.