# STATS MEDICAL SUPPLIES & EQUIPMENT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497924898
- **Authorized official:** MRS. OLUSHOLA E FASHINA (CEO)
- **Authorized official phone:** (301) 617-0066

## Contact information

- **Practice address:** 10760 HICKORY RIDGE RD, SUITE 123, COLUMBIA, MD 21044-3682
- **Practice address phone:** (301) 617-0066
- **Practice address fax:** (443) 542-9372
- **Mailing address:** 10760 HICKORY RIDGE RD, SUITE 123, COLUMBIA, MD 21044-3682
- **Mailing address phone:** (301) 617-0066
- **Mailing address fax:** (443) 542-9372

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | R2412 | MD | Yes |

## Other

- **Enumeration date:** 02/29/2008
- **Last updated:** 04/18/2011
