Organization Active NPI

Moor Integrated Logistics Corporation

  • Durable Medical Equipment & Medical Supplies
  • Hamtramck, MI
National Provider Identifier
1992405062
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MOOR INTEGRATED LOGISTICS CORPORATION
Practice address
17154 Conant St
Hamtramck, MI 48212-1166
Phone
(248) 798-1809
Fax
(586) 649-3251
NPI assigned
Mar 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. Myles Anthony-Isaac Frederick
Title
Chief Executive Officer
Phone
(248) 798-1809

Specialties & licenses 1

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

Addresses

Primary practice location

17154 Conant St
Hamtramck, MI 48212-1166

Mailing address

27432 Groesbeck Hwy Ste 3
Roseville, MI 48066-2715
Phone (248) 798-1809

National Provider Directory

National Provider Directory

Locations

17154 Conant St
Hamtramck, MI 48212
Phone (248) 798-1809

27432 Groesbeck Hwy
Ste 3
Roseville, MI 48066

NPI Registry JSON

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

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1992405062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27432 GROESBECK HWY STE 3",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480662715",
            "telephone_number": "248-798-1809",
            "fax_number": "586-649-3251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17154 CONANT ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482121166",
            "telephone_number": "248-798-1809",
            "fax_number": "586-649-3251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOOR INTEGRATED LOGISTICS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-07",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "FREDERICK",
        "authorized_official_first_name": "MYLES",
        "authorized_official_middle_name": "ANTHONY-ISAAC",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "248-798-1809",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamtramck, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.