Provider Demographics
NPI:1235763939
Name:ALL MEDICAL SUPPLIER, LLC
Entity Type:Organization
Organization Name:ALL MEDICAL SUPPLIER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ALLAN
Authorized Official - Middle Name:G
Authorized Official - Last Name:GRINES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-241-8883
Mailing Address - Street 1:9658 BALTIMORE AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:COLLEGE PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20740-1346
Mailing Address - Country:US
Mailing Address - Phone:301-241-8883
Mailing Address - Fax:
Practice Address - Street 1:9658 BALTIMORE AVE STE 300
Practice Address - Street 2:
Practice Address - City:COLLEGE PARK
Practice Address - State:MD
Practice Address - Zip Code:20740-1346
Practice Address - Country:US
Practice Address - Phone:301-241-8883
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-03
Last Update Date:2020-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies