Healthcare Provider Details

I. General information

NPI: 1033037874
Provider Name (Legal Business Name): AASY LAB LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2018 JONATHAN CIR
SHELBY TOWNSHIP MI
48317-3822
US

IV. Provider business mailing address

2018 JONATHAN CIR
SHELBY TOWNSHIP MI
48317-3822
US

V. Phone/Fax

Practice location:
  • Phone: 929-933-5465
  • Fax:
Mailing address:
  • Phone:
  • 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: AHMED RAZA
Title or Position: OWNER
Credential:
Phone: 929-933-5465