Healthcare Provider Details

I. General information

NPI: 1093642472
Provider Name (Legal Business Name): PRIMEMED SUPPLIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6240 CASS CITY
CASS CITY MI
48726
US

IV. Provider business mailing address

6240 CASS CITY
CASS CITY MI
48726
US

V. Phone/Fax

Practice location:
  • Phone: 248-275-3174
  • Fax: 989-672-1082
Mailing address:
  • Phone: 248-275-3174
  • Fax: 989-672-1082

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. EDNAN SYED
Title or Position: OWNER
Credential:
Phone: 248-275-3174