MEDICARE: ORBIT MEDICAL PRODUCTS OF MADISON HEIGHTS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	332BC3200X	Customized Equipment (DME)
2	332BX2000X	Oxygen Equipment & Supplies (DME)
3	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184653024
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORBIT MEDICAL PRODUCTS OF MADISON HEIGHTS LLC

Provider Business Mailing Address
First Line	:	9495 WINNETKA AVE N STE 200
Second Line	:
City	:	BROOKLYN PARK
State	:	MN
Zip	:	55445-1618
Country	:	US
Telephone Number	:	629-252-8211
Fax Number	:	763-255-3972

Provider Business Practice Location Address
First Line	:	25157 DEQUINDRE RD
Second Line	:
City	:	MADISON HEIGHTS
State	:	MI
Zip	:	48071-4240
Country	:	US
Telephone Number	:	248-658-6212
Fax Number	:	248-658-6216

Authorized Official
Title or Position	:	SENIOR DIRECTOR OF PAYOR RELATIONS
Name	:	KILEY ANN RUSSELL
Credential	:
Telephone Number	:	629-252-8211

Provider Enumeration Date	:	07/02/2006
Last Update Date	:	06/04/2026

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