Provider Demographics
NPI:1962887158
Name:RAPID RESPIRATORY SERVICES, LLC
Entity type:Organization
Organization Name:RAPID RESPIRATORY SERVICES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SR VP/AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:E
Authorized Official - Last Name:KNOFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-824-6000
Mailing Address - Street 1:21540 W 11 MILE RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48076-3843
Mailing Address - Country:US
Mailing Address - Phone:248-299-3330
Mailing Address - Fax:248-299-3332
Practice Address - Street 1:10117 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78217-4420
Practice Address - Country:US
Practice Address - Phone:210-251-4255
Practice Address - Fax:248-299-3332
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RAPID RESPIRATORY SERVICES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-07-29
Last Update Date:2019-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1001158332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1001158OtherWHOLESALE DISTRIBUTOR OF COMPRESSED MEDICAL GAS LICENSE