Active NPI
Midblue Medical Supplies LLC
- Durable Medical Equipment & Medical Supplies
- Herndon, VA
National Provider Identifier
1205798592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- MIDBLUE MEDICAL SUPPLIES LLC
- Practice address
- 407 Arkansas Ave
Herndon, VA 20170-5413 - Phone
- (848) 384-3143
- NPI assigned
- Nov 25, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marieta Abanador
- Title
- President
- Phone
- (848) 384-3143
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
407 Arkansas Ave
Herndon, VA 20170-5413
Mailing address
407 Arkansas Ave
Herndon, VA 20170-5413
Phone (848) 384-3143
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764028800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1768521600000",
"number": "1205798592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 ARKANSAS AVE",
"city": "HERNDON",
"state": "VA",
"postal_code": "201705413",
"telephone_number": "848-384-3143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 ARKANSAS AVE",
"city": "HERNDON",
"state": "VA",
"postal_code": "201705413",
"telephone_number": "848-384-3143"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDBLUE MEDICAL SUPPLIES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-25",
"last_updated": "2026-01-16",
"certification_date": "2026-01-16",
"status": "A",
"authorized_official_last_name": "ABANADOR",
"authorized_official_first_name": "MARIETA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "848-384-3143"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Herndon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.