Provider Demographics
NPI:1487910048
Name:MUMA'S INC.
Entity type:Organization
Organization Name:MUMA'S INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:MUMA
Authorized Official - Suffix:
Authorized Official - Credentials:RT(R)
Authorized Official - Phone:240-354-5763
Mailing Address - Street 1:6521 GREENFIELD CT
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-3556
Mailing Address - Country:US
Mailing Address - Phone:240-354-5763
Mailing Address - Fax:240-334-5507
Practice Address - Street 1:6521 GREENFIELD CT
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-3556
Practice Address - Country:US
Practice Address - Phone:240-354-5763
Practice Address - Fax:240-334-5507
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-09
Last Update Date:2013-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR0003510335V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC248340Medicare PIN