Healthcare Provider Details

I. General information

NPI: 1619511599
Provider Name (Legal Business Name): XCEED MEDICAL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2019
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2363 S 102ND ST STE 101
WEST ALLIS WI
53227-2143
US

IV. Provider business mailing address

2363 S 102ND ST STE 101
WEST ALLIS WI
53227-2143
US

V. Phone/Fax

Practice location:
  • Phone: 414-235-8552
  • Fax: 414-258-2855
Mailing address:
  • Phone: 414-235-8552
  • Fax: 414-258-2855

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 Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: SAMANTHA KRUMREE
Title or Position: OFFICE MANAGER
Credential:
Phone: 414-399-0888