Provider Demographics
NPI:1447050703
Name:MJS MEDICAL SUPPLIES LLC
Entity type:Organization
Organization Name:MJS MEDICAL SUPPLIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ZAFAR
Authorized Official - Middle Name:
Authorized Official - Last Name:IQBAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:409-941-7264
Mailing Address - Street 1:21597 INKSTER RD BROWNSTOWN
Mailing Address - Street 2:
Mailing Address - City:TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48193
Mailing Address - Country:US
Mailing Address - Phone:409-941-7264
Mailing Address - Fax:
Practice Address - Street 1:21597 INKSTER RD BROWNSTOWN
Practice Address - Street 2:
Practice Address - City:TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48193
Practice Address - Country:US
Practice Address - Phone:409-941-7264
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment