MEDICARE: S.A.R.A MEDICAL SUPPLY, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	MI
2	332BC3200X	Customized Equipment (DME)	MI
3	332BD1200X	Dialysis Equipment & Supplies (DME)	MI
4	332BN1400X	Nursing Facility Supplies (DME)	MI
5	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)	MI
6	332BX2000X	Oxygen Equipment & Supplies (DME)	MI

General Provider Information

NPI Number	:	1790894533
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	S.A.R.A MEDICAL SUPPLY, LLC

Provider Business Mailing Address
First Line	:	2401 AMBER DRIVE
Second Line	:
City	:	CANTON
State	:	MI
Zip	:	48188
Country	:	US
Telephone Number	:	734-552-0846
Fax Number	:	248-737-0994

Provider Business Practice Location Address
First Line	:	27832 FORD RD
Second Line	:
City	:	GARDEN CITY
State	:	MI
Zip	:	48135-2994
Country	:	US
Telephone Number	:	734-552-0846
Fax Number	:	248-737-0994

Authorized Official
Title or Position	:	ADMINISTRATION
Name	:	RABIA LATIF
Credential	:
Telephone Number	:	734-552-0846

Provider Enumeration Date	:	08/29/2006
Last Update Date	:	09/11/2025

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