Victory Medical Supply
Durable Medical Equipment & Medical Supplies in Southfield, MI. Organization (NPI-2).
Details
- NPI
- 1528070976
- Entity type
- Organization (NPI-2)
- Legal business name
- Victory Medical Supply
- Organization subpart
- No
- Enumeration date
- Aug 13, 2006
- Last updated
- Aug 22, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
Practice location
29350 Southfield RdSte 121
Southfield, MI 48076-2053
Phone 248-552-8533 · Fax 248-552-7281
Mailing address
29350 Southfield RdSte 121
Southfield, MI 48076-2053
Phone 248-552-8533 · Fax 248-552-7281
Authorized official
Rose Idiong
Owner/Manager
2485528533
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 120 Durable Medical Equipment & Medical Supplies providers in Southfield · All 8,937 providers in Southfield
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