Healthcare Provider Details

I. General information

NPI: 1881765501
Provider Name (Legal Business Name): RAPID RESPIRATORY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2006
Last Update Date: 09/25/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21540 W. ELEVEN MILE ROAD, STE. 100
SOUTHFIELD MI
48076-3843
US

IV. Provider business mailing address

21540 W. ELEVEN MILE ROAD, STE. 100
SOUTHFIELD MI
48076-3843
US

V. Phone/Fax

Practice location:
  • Phone: 877-296-3330
  • Fax: 248-299-3332
Mailing address:
  • Phone: 248-296-3330
  • Fax: 248-299-3332

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: DENNIS KNOFF
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 248-248-8246