Organization Active NPI

Leeway Durable Medical Equipment LLC.

  • Durable Medical Equipment & Medical Supplies
  • Southfield, MI
National Provider Identifier
1952488769
Registry record updated Oct 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
B66583 Issued in MI
Legal business name
LEEWAY DURABLE MEDICAL EQUIPMENT LLC.
Practice address
17515 W 9 Mile Rd
Suite 750
Southfield, MI 48075-4403
Phone
(248) 552-0910
Fax
(248) 552-1329
NPI assigned
Nov 1, 2006
Last updated
Oct 26, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2011

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

Authorized official

Name
Syed Khurram Rizvi
Title
Ceo/Administrator
Phone
(734) 325-4363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X B66583 MI Primary

Addresses

Primary practice location

17515 W 9 Mile Rd
Suite 750
Southfield, MI 48075-4403

Mailing address

5820 North Canton Center Rd
Suite 140-1
Canton, MI 48187-2681
Phone (734) 325-4363

Other identifiers 1

IdentifierTypeStateIssuer
27234OtherMISTATE ID NUMBER

National Provider Directory

National Provider Directory

Locations

5820 N Canton Center Rd
Ste 1401
Canton, MI 48187

17515 W 9 Mile Rd
Ste 750
Southfield, MI 48075
Phone (248) 552-0910

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319587200000",
    "number": "1952488769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5820 NORTH CANTON CENTER RD",
            "address_2": "SUITE 140-1",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481872681",
            "telephone_number": "734-325-4363",
            "fax_number": "248-552-1329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17515 W 9 MILE RD",
            "address_2": "SUITE 750",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754403",
            "telephone_number": "248-552-0910",
            "fax_number": "248-552-1329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEEWAY DURABLE MEDICAL EQUIPMENT LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2011-10-26",
        "status": "A",
        "authorized_official_last_name": "RIZVI",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "KHURRAM",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "734-325-4363"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "B66583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ID NUMBER",
            "identifier": "27234",
            "state": "MI"
        }
    ],
    "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 Oct 26, 2011; 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.