Provider Demographics
NPI:1154759884
Name:FIRST RESPONSE MEDICAL SUPPLIES LLC
Entity type:Organization
Organization Name:FIRST RESPONSE MEDICAL SUPPLIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MIRZA
Authorized Official - Middle Name:ALLI
Authorized Official - Last Name:SALMACI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-731-2554
Mailing Address - Street 1:2020 N LAFAYETTE ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48128-1148
Mailing Address - Country:US
Mailing Address - Phone:313-731-2554
Mailing Address - Fax:313-557-0111
Practice Address - Street 1:2020 N LAFAYETTE ST
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48128-1148
Practice Address - Country:US
Practice Address - Phone:313-731-2554
Practice Address - Fax:313-557-0111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-15
Last Update Date:2014-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies