Provider Demographics
NPI:1699936401
Name:SUBURBAN MEDICAL EQUIPMENT & SUPPLIES INC
Entity type:Organization
Organization Name:SUBURBAN MEDICAL EQUIPMENT & SUPPLIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORRAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:NEWTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-333-0563
Mailing Address - Street 1:7323 GEORGIA AVE NW
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20012-1703
Mailing Address - Country:US
Mailing Address - Phone:202-722-0555
Mailing Address - Fax:202-722-0554
Practice Address - Street 1:7323 GEORGIA AVE NW
Practice Address - Street 2:SUITE 100
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20012-1703
Practice Address - Country:US
Practice Address - Phone:202-722-0555
Practice Address - Fax:202-722-0554
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SUBURBAN MEDICAL EQUIPMENT & SUPPLIES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-06-24
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR1000332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
4256120001Medicare NSC