# NCR MEDICAL EQUIPMENT SUPPLY.LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** N/B
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205064896
- **Authorized official:** MR. NICHOLAS AKEM ASONG (ADMINISTRATOR)
- **Authorized official phone:** (240) 755-1220

## Contact information

- **Practice address:** 5419 85 TH AVE APT \#201, LANHAM, MD 20706
- **Practice address phone:** (240) 755-1220
- **Mailing address:** 5419 85 TH AVEAPT \#201, LANHAM, MD 20706
- **Mailing address phone:** (240) 755-1220

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BN1400X | Nursing Facility Supplies (DME) | R2772 | MD | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | R2772 | MD | Yes |

## Other

- **Enumeration date:** 06/23/2009
- **Last updated:** 06/23/2009