Provider Demographics
NPI:1992868319
Name:MEDSTAR RESPIRATORY SERVICES, LLC
Entity Type:Organization
Organization Name:MEDSTAR RESPIRATORY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-931-4450
Mailing Address - Street 1:20463 SENECA MEADOWS PKWY
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20876-7005
Mailing Address - Country:US
Mailing Address - Phone:301-353-0300
Mailing Address - Fax:301-916-2611
Practice Address - Street 1:20463 SENECA MEADOWS PKWY
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20876-7005
Practice Address - Country:US
Practice Address - Phone:301-353-0300
Practice Address - Fax:301-916-2611
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PARKWAY VENTURES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-12-18
Last Update Date:2007-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies