Provider Demographics
NPI:1902248263
Name:METRO MEDICAL SUPPLY LLC
Entity type:Organization
Organization Name:METRO MEDICAL SUPPLY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHEAL
Authorized Official - Middle Name:
Authorized Official - Last Name:CUNNINGHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-256-2799
Mailing Address - Street 1:14528 OWINGS AVE
Mailing Address - Street 2:
Mailing Address - City:BRANDYWINE
Mailing Address - State:MD
Mailing Address - Zip Code:20613-5907
Mailing Address - Country:US
Mailing Address - Phone:202-256-2799
Mailing Address - Fax:301-782-4164
Practice Address - Street 1:14528 OWINGS AVE
Practice Address - Street 2:
Practice Address - City:BRANDYWINE
Practice Address - State:MD
Practice Address - Zip Code:20613-5907
Practice Address - Country:US
Practice Address - Phone:202-256-2799
Practice Address - Fax:301-782-4164
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-26
Last Update Date:2013-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BD1200XSuppliersDurable Medical Equipment & Medical SuppliesDialysis Equipment & Supplies