Healthcare Provider Details

I. General information

NPI: 1922678606
Provider Name (Legal Business Name): ADV MEDICAL EQUIPMENT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2021
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20411 W 12 MILE RD STE 102
SOUTHFIELD MI
48076-6404
US

IV. Provider business mailing address

20411 W 12 MILE RD STE 102
SOUTHFIELD MI
48076-6404
US

V. Phone/Fax

Practice location:
  • Phone: 248-621-2896
  • Fax: 586-355-5352
Mailing address:
  • Phone: 248-621-2896
  • Fax: 586-355-5352

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: IMAN RATHUR
Title or Position: CEO / PRESIDENT
Credential:
Phone: 248-765-2367