| Organization Name: | METRO MEDICAL SUPPLY LLC |
| NPI Number: | 1902248263 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHEAL CUNNINGHAM (OWNER) |
| Mailing Address: | 14528 Owings Ave Brandywine |
| State: | MD US |
| Postal Code: | 206135907 |
| Phone Number: | 2022562799 |
| Fax Number: | 3017824164 |
| NPI Enumeration Date: | 07/26/2013 |
| NPI Last Update Date: | 07/26/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BD1200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Dialysis Equipment & Supplies |
| Taxonomy Definition: | |