Organization
MIDBLUE MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIETA ABANADOR (PRESIDENT)
(848) 384-3143
Entity
Organization
Contact information
Practice address
407 ARKANSAS AVE, HERNDON, VA 20170-5413
(848) 384-3143
Mailing address
407 ARKANSAS AVE, HERNDON, VA 20170-5413
(848) 384-3143
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/25/2025
Last updated
01/16/2026
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