Organization
DOMINION MEDICAL EQUIPMENT CONSORTIUM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FELIX A. OWOLABI (DIRECTOR)
(443) 570-4860
Entity
Organization
Contact information
Practice address
5513 YORK RD, BALTIMORE, MD 21212-3804
(443) 825-2955
(410) 800-2506
Mailing address
5513 YORK RD, BALTIMORE, MD 21212-3804
(443) 570-4860
(410) 800-2506
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
R3289R
MD
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
430903100
—
MD
Enumeration date
07/24/2013
Last updated
11/09/2022
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