Healthcare Provider Details

I. General information

NPI: 1508775974
Provider Name (Legal Business Name): NARA MEDICAL SUPPLIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3024 GRANDY AVE
NORFOLK VA
23509-2534
US

IV. Provider business mailing address

3024 GRANDY AVE
NORFOLK VA
23509-2534
US

V. Phone/Fax

Practice location:
  • Phone: 645-527-3844
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: MARGARET KIRK
Title or Position: CEO
Credential:
Phone: 653-774-9199