Organization · NPI-2

Dis Medical Supply

Durable Medical Equipment & Medical Supplies · Laurel, MD

NPI number1063476117
StatusActive
Last updated in NPPESJul 7, 2009

Details

NPI
1063476117
Entity type
Organization (NPI-2)
Legal business name
Dis Medical Supply
Organization subpart
No
Enumeration date
Apr 14, 2006
Last updated
Jul 7, 2009

Taxonomy and licenses

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

Practice location

8730 Cherry Ln
Suite A-2
Laurel, MD 20707-6212

Phone 301-317-3664 · Fax 301-317-5099

Mailing address

8730 Cherry Ln
Suite A-2
Laurel, MD 20707-6212

Phone 301-317-3664 · Fax 301-317-5099

Authorized official

Charles Umoh
Managing Employee
3013173664

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