1St Adult&Pediatric Medical Suppliesllc
Organization Active NPI Durable Medical Equipment & Medical Supplies · Fairfax, VA
NPI 1770025124 · NPPES record last updated Nov 15, 2016
Key facts
- NPI
- 1770025124
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- 1ST ADULT&PEDIATRIC MEDICAL SUPPLIESLLC
- Practice address
- 10650 Main St Ste 102
Fairfax, VA 22030-3814 - Phone
- (240) 416-1272
- NPI assigned
- Nov 15, 2016
- Organization subpart
- No
Authorized official
- Name
- Mrs. Carolyn Elizabeth Bryant-Taylor
- Title
- Owner
- Phone
- (240) 416-1272
National Provider Directory
Locations
10650 Main St
Ste 102
Fairfax, VA 22030
Phone (240) 416-1272
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
10650 Main St Ste 102
Fairfax, VA 22030-3814
Mailing address
10650 Main St Ste 102
Fairfax, VA 22030-3814
Phone (240) 416-1272
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All providers in Fairfax, VA · Durable Medical Equipment & Medical Supplies in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.