Healthcare Provider Details

I. General information

NPI: 1740198993
Provider Name (Legal Business Name): LPSW EQUIPMENT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41430 GRAND RIVER AVE STE D1
NOVI MI
48375-1876
US

IV. Provider business mailing address

41430 GRAND RIVER AVE STE D1
NOVI MI
48375-1876
US

V. Phone/Fax

Practice location:
  • Phone: 312-446-7627
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: AMANUDDIN MOHAMMAD
Title or Position: MANAGER
Credential:
Phone: 312-446-7627