Provider Demographics
NPI:1164655692
Name:AMERICAN MEDICAL EQUIPMENT & SUPPLY
Entity Type:Organization
Organization Name:AMERICAN MEDICAL EQUIPMENT & SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:MANUEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-239-8252
Mailing Address - Street 1:5248 REISTERSTOWN RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215-5083
Mailing Address - Country:US
Mailing Address - Phone:804-239-8252
Mailing Address - Fax:410-585-6490
Practice Address - Street 1:5248 REISTERSTOWN RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215-5083
Practice Address - Country:US
Practice Address - Phone:804-239-8252
Practice Address - Fax:410-585-6490
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-01
Last Update Date:2011-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies