Provider Demographics
NPI:1154138402
Name:ALPHA MEDEQUIP LLC
Entity type:Organization
Organization Name:ALPHA MEDEQUIP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SABA FARHAT
Authorized Official - Middle Name:
Authorized Official - Last Name:SYEDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-880-1747
Mailing Address - Street 1:2025 W GRANVILLE AVE APT 409
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60659-3040
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2304 JERSEY RIDGE RD
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52803-2378
Practice Address - Country:US
Practice Address - Phone:469-880-1747
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-11
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory