Organization Active NPI

Adv Medical Equipment, LLC

  • Durable Medical Equipment & Medical Supplies
  • Southfield, MI
National Provider Identifier
1922678606
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ADV MEDICAL EQUIPMENT, LLC
Practice address
20411 W 12 Mile Rd Ste 102
Southfield, MI 48076-6404
Phone
(248) 621-2896
Fax
(586) 355-5352
NPI assigned
Jun 25, 2021
Last updated
Jun 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Authorized official

Name
Iman Rathur
Title
Ceo / President
Phone
(248) 765-2367

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

20411 W 12 Mile Rd Ste 102
Southfield, MI 48076-6404

Mailing address

20411 W 12 Mile Rd Ste 102
Southfield, MI 48076-6404
Phone (248) 621-2896

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211108000942 MI DME Supplier - Medical Supply Company 0547659856 Practice locations: Wayne, MI

National Provider Directory

National Provider Directory

Locations

20411 W 12 Mile Rd
Ste 102
Southfield, MI 48076
Phone (248) 352-1110

34904 W Michigan Ave
Ste 11
Wayne, MI 48184
Phone (313) 285-8597

NPI Registry JSON

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780617600000",
    "number": "1922678606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20411 W 12 MILE RD STE 102",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480766404",
            "telephone_number": "248-621-2896",
            "fax_number": "586-355-5352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20411 W 12 MILE RD STE 102",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480766404",
            "telephone_number": "248-621-2896",
            "fax_number": "586-355-5352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADV MEDICAL EQUIPMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-25",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A",
        "authorized_official_last_name": "RATHUR",
        "authorized_official_first_name": "IMAN",
        "authorized_official_title_or_position": "CEO / PRESIDENT",
        "authorized_official_telephone_number": "248-765-2367"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.