| NPI | 1225342801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAHIR M BASIT Owner 1586-510-0004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MI D45719) |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2011-10-12 |