MID ATLANTIC DME, LLC
NPI 1376600700
Durable Medical Equipment & Medical Supplies - Nursing Facility Supplies in Timonium, MD
- Organization
- Durable Medical Equipment & Medical Supp...
- Nursing Facility Supplies
- CLIA Number: 21D2006164
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-13-2026
About MID ATLANTIC DME, LLC
This page provides the complete NPI Profile along with additional information for Mid Atlantic Dme, Llc, a provider established in Timonium, Maryland operating as a Durable Medical Equipment & Medical Supplies, focusing in nursing facility supplies . The healthcare provider is registered in the NPI registry with number 1376600700 assigned on January 2007. The practitioner's primary taxonomy code is 332BN1400X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Howard Friner (Ceo)
- NPI
- 1376600700 Verify this NPI
- Provider Name
- MID ATLANTIC DME, LLC
- Entity Type
- Organization
- Location Address
- 1922 GREENSPRING DR SUITE 3 TIMONIUM, MD 21093
- Location Phone
- (410) 308-2300
- Location Fax
- (410) 308-4999
- Mailing Address
- 1922 GREENSPRING DR SUITE 3 TIMONIUM, MD 21093
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-03-2007
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Durable Medical Equipment & Medical Supplies Nursing Facility Supplies
- Taxonomy Code
- 332BN1400X
- Type
- Suppliers
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 21D2006164
- Facility Type
- Physician Office
- Certificate Effective Date
- April 14, 2024
- Certificate Expiration Date
- April 13, 2026
- Laboratory Director
- IBIKUNLE O. KOYA
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Mid Atlantic Dme, Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1376600700, enumerated as an "organization" on January 03, 2007.
The provider is located at 1922 GREENSPRING DR SUITE 3 TIMONIUM, MD 21093 and the phone number is (410) 308-2300.
Durable Medical Equipment & Medical Supplies with taxonomy code 332BN1400X and a focus in Nursing Facility Supplies.
