Healthcare Provider Details

I. General information

NPI: 1366372831
Provider Name (Legal Business Name): MEDICOVER DIAGNOSTICS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 RENAISSANCE CTR
DETROIT MI
48243-1502
US

IV. Provider business mailing address

400 RENAISSANCE CTR
DETROIT MI
48243-1502
US

V. Phone/Fax

Practice location:
  • Phone: 832-353-1406
  • Fax:
Mailing address:
  • Phone: 832-353-1406
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: ARIF AHMED
Title or Position: OWNER
Credential: CEO
Phone: 832-353-1406