Great Lakes Porter SVC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

A530035029696 Issued in MI

Legal business name

GREAT LAKES PORTER SVC

Practice address

5296 Hartwell St
Dearborn, MI 48126-3310

Phone

(313) 478-6699

NPI assigned

Jun 4, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Ahmed Ahmed

Title

President

Phone

(313) 478-6699

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275609600000",
    "number": "1972823698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25411 W WARREN ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481273830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5296 HARTWELL ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263310",
            "telephone_number": "313-478-6699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES PORTER SVC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-04",
        "last_updated": "2010-06-04",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-478-6699",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MI",
            "license": "A530035029696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Great Lakes Cardiovascular & Thoracic Surgeons
• Great Lakes Med Solutions LLC
• Great Lakes Medical Laboratories, Inc.
• Great Lakes Musculoskeletal Ultrasound Inc.
• Great Lakes Pediatric Neurology
• Great Lakes Reading, PLLC
• Greater Detroit Community Care
• Greater Michigan Cardiovascular Surgeons PLC
• Kristie K Greear, PA-C
• Green Medical Supply LLC

• Non-emergency Medical Transport (VAN) in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Non-emergency Medical Transport (VAN) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.