Active NPI
Moor Integrated Logistics Corporation
- Durable Medical Equipment & Medical Supplies
- Hamtramck, MI
National Provider Identifier
1992405062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.