=====================================================
General NPI Number Information
=====================================================
NPI Number | 1174745335
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | UNITED MEDICAL EQUIPMENTS AND SERVICES, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/03/2007
-----------------------------------------------------
Last Update Date | 10/15/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5020 SUNNYSIDE AVE SUITE 122
-----------------------------------------------------
City | BELTSVILLE
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20705-2307
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 301-441-1001
-----------------------------------------------------
Fax | 301-441-1120
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5020 SUNNYSIDE AVE SUITE 122
-----------------------------------------------------
City | BELTSVILLE
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20705-2307
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 301-441-1001
-----------------------------------------------------
Fax | 301-441-1120
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PARTNER
-----------------------------------------------------
Name | MR. ETIDO PAUL AKPAN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 301-441-1001
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | MD
-----------------------------------------------------