Active NPI
Redwood Medical Equipment LLC
- Durable Medical Equipment & Medical Supplies
- Dearborn, MI
National Provider Identifier
1992270730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- REDWOOD MEDICAL EQUIPMENT LLC
- Practice address
- 14716 W Warren Ave
Dearborn, MI 48126-1347 - Phone
- (313) 732-3502
- NPI assigned
- Oct 8, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Adam Shiblaq
- Title
- Ceo
- Phone
- (248) 719-6550
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
14716 W Warren Ave
Dearborn, MI 48126-1347
Mailing address
14716 W Warren Ave
Dearborn, MI 48126-1347
Phone (313) 732-3502
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538956800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1538956800000",
"number": "1992270730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14716 W WARREN AVE",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481261347",
"telephone_number": "313-732-3502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14716 W WARREN AVE",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481261347",
"telephone_number": "313-732-3502"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REDWOOD MEDICAL EQUIPMENT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-08",
"last_updated": "2018-10-08",
"status": "A",
"authorized_official_last_name": "SHIBLAQ",
"authorized_official_first_name": "ADAM",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "248-719-6550"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.