Individual ProviderNoori NooriStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address3333 Glendale Ave, Toledo, OH 43614-2426(419) 383-5502PECOS EnrollmentBased on the most recent information from CMS, provider Noori Noori is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records today at 11:36 AM.Profile DetailsProvider ID1528565249Provider TypeIndividualFull NameNoori, NooriCredentialMDGenderMaleSole ProprietorNoEnumeration Date4/9/2018Last Updated11/29/2021Contact InformationPractice LocationPractice Address3333 Glendale Ave, Toledo, OH 43614-2426Phone(419) 383-5502FaxUnlisted FaxMailing LocationMailing Address3333 Glendale Ave, Toledo, OH 43614-2426PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer