Organization Name: | PREMIUM MEDICAL SUPPLIES & SERVICES |
NPI Number: | 1730307711 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHI ONWUMBIKO (ADMINISTRATOR) |
Mailing Address: | 316 Talbott Ave Laurel |
State: | MD US |
Postal Code: | 207074334 |
Phone Number: | 3014977222 |
Fax Number: | 3014977225 |
NPI Enumeration Date: | 04/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | R2541 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |