Healthcare Provider Details

I. General information

NPI: 1437176112
Provider Name (Legal Business Name): SIGNATURE MEDICAL LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29820 TELEGRAPH RD
SOUTHFIELD MI
48034-1338
US

IV. Provider business mailing address

29820 TELEGRAPH RD
SOUTHFIELD MI
48034-1338
US

V. Phone/Fax

Practice location:
  • Phone: 248-282-4900
  • Fax: 248-498-5960
Mailing address:
  • Phone: 248-282-4900
  • Fax: 248-498-5960

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: REBECCA LYNN LAUGHHUNN SMALL
Title or Position: CEO
Credential:
Phone: 248-282-4900