Provider Demographics
NPI:1720189954
Name:METRO MEDICAL SUPPLY LLC
Entity Type:Organization
Organization Name:METRO MEDICAL SUPPLY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MESFIN
Authorized Official - Middle Name:ELMINEH
Authorized Official - Last Name:MEHERETU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-243-9296
Mailing Address - Street 1:4602 8TH ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-7134
Mailing Address - Country:US
Mailing Address - Phone:202-722-7230
Mailing Address - Fax:
Practice Address - Street 1:4602 8TH ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-7134
Practice Address - Country:US
Practice Address - Phone:202-722-7230
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies