Healthcare Provider Details
I. General information
NPI: 1598540452
Provider Name (Legal Business Name): QI LOGISTICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/29/2023
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
34267 STOCKMAN ST
CLINTON TOWNSHIP MI
48035-3669
US
IV. Provider business mailing address
34267 STOCKMAN ST
CLINTON TOWNSHIP MI
48035-3669
US
V. Phone/Fax
- Phone: 248-923-0546
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 172V00000X |
| Taxonomy | Community Health Worker |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 343900000X |
| Taxonomy | Non-emergency Medical Transport (VAN) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
QIANA
DAVIS
Title or Position: OWNER
Credential:
Phone: 586-222-8757