Provider Demographics
NPI:1619739026
Name:METABOLIC SYNDROME INSULIN INFUSION - ONLEY LLC
Entity Type:Organization
Organization Name:METABOLIC SYNDROME INSULIN INFUSION - ONLEY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:MARETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-888-8292
Mailing Address - Street 1:147 HERON POINTE DR
Mailing Address - Street 2:
Mailing Address - City:CAPE CHARLES
Mailing Address - State:VA
Mailing Address - Zip Code:23310-2398
Mailing Address - Country:US
Mailing Address - Phone:240-888-8292
Mailing Address - Fax:
Practice Address - Street 1:25096 LANKFORD HWY
Practice Address - Street 2:
Practice Address - City:ONLEY
Practice Address - State:VA
Practice Address - Zip Code:23418-2810
Practice Address - Country:US
Practice Address - Phone:240-888-8292
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-30
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy