Organization · NPI-2

Cork Medical LLC

Durable Medical Equipment & Medical Supplies · Farmington Hills, MI

NPI number1912563677
StatusActive
Last updated in NPPESNov 27, 2023

Details

NPI
1912563677
Entity type
Organization (NPI-2)
Legal business name
Cork Medical LLC
Organization subpart
No
Enumeration date
May 17, 2019
Last updated
Nov 27, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies––Yes

Practice location

24077 Research Dr
Farmington Hills, MI 48335-2632

Phone 248-482-8705

Mailing address

8000 Castleway Dr
Indianapolis, IN 46250-1943

Phone 317-361-4554

Authorized official

Kevin Gearheart
President
3178134210

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