<Unavail>

LBN: Premier Medical Development
<Unavail> is an health care organization with primary practice located at 29155 Northwestern Hwy Ste 428 , Southfield MI 48034-1011. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Clinic Pharmacy. Suppliers / Clinic Pharmacy is the primary health care specialty. Premier Medical Development can be contacted via phone (877) 220-8411, or through Jallouqa, Anzour S via phone (877) 220-8411.

Contact Information

Primary practice address
29155 Northwestern Hwy Ste 428 Southfield MI 48034-1011
Phone: (877) 220-8411
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jallouqa, Anzour S
Phone: (877) 220-8411

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Clinic Pharmacy 3336C0002X

Profile Details

NPI number 1780173971
LBN Legal business name Premier Medical Development
DBA Doing business as <Unavail>
Authorized official Jallouqa, Anzour S
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2018
Last updated Nov 16th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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