| Organization Name: | MEDSTAR HEALTH INFUSION, INC. |
| NPI Number: | 1215041983 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CARMEN LOTT (EXECUTIVE DIRECTOR) |
| Mailing Address: | 7379 Washington Blvd Elkridge |
| State: | MD US |
| Postal Code: | 210756329 |
| Phone Number: | 4105404450 |
| Fax Number: | 4105404430 |
| NPI Enumeration Date: | 08/18/2006 |
| NPI Last Update Date: | 04/29/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BP3500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Parenteral & Enteral Nutrition |
| Taxonomy Definition: | |