Healthcare Provider Details

I. General information

NPI: 1740126119
Provider Name (Legal Business Name): SOUTH-EX LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

324 W MAIN ST
BRIGHTON MI
48116-1591
US

IV. Provider business mailing address

324 W MAIN ST
BRIGHTON MI
48116-1591
US

V. Phone/Fax

Practice location:
  • Phone: 567-230-0231
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: SUMAIR HABIB
Title or Position: OWNER
Credential:
Phone: 567-230-0231