Healthcare Provider Details

I. General information

NPI: 1902777493
Provider Name (Legal Business Name): LPSW EQUIPMENT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2025
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41430 GRAND RIVER AVE
NOVI MI
48375-1876
US

IV. Provider business mailing address

41430 GRAND RIVER AVE
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 TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

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