OrganizationActive
Life Extension Medical Equipment LLC
NPI 1386672004 · Durable Medical Equipment & Medical Supplies · Southfield, MI
Provider details
- NPI number
- 1386672004
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Azhar Islam, President(248) 280-3820
- License
- B (MI)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
29350 Southfield Rd
Suite 115
Southfield, MI 48076-2053
Phone: (248) 395-1511
Street-level locationGet directions
Mailing address
11 W 14 Mile Rd
Clawson, MI 48017-3104
Registry dates
- Enumerated
- 2006-06-29
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.