Organization Active NPI

Midblue Medical Supplies LLC

  • Durable Medical Equipment & Medical Supplies
  • Herndon, VA
National Provider Identifier
1205798592
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Jan 16, 2026

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.