Organization Active NPI

Ghodousi LLC

  • Customized Equipment (DME)
  • Alexandria, VA
National Provider Identifier
1982078010
Registry record updated Dec 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
15-GTEC Issued in VA
Legal business name
GHODOUSI LLC
Doing business as
G-Technology Group
Practice address
5702 General Washington Dr
Suite G
Alexandria, VA 22312-2409
Phone
(703) 224-8985
NPI assigned
Dec 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Arman Ghodousi
Title
Ceo
Phone
(703) 224-8985

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 15-GTEC VA Primary

Addresses

Primary practice location

5702 General Washington Dr
Suite G
Alexandria, VA 22312-2409

Mailing address

2331 Mill Rd
Suite 100
Alexandria, VA 22314-4677
Phone (571) 297-4756

Other names 1

  • G-Technology Group Doing business as

National Provider Directory

National Provider Directory

Locations

5702 General Washington Dr
Ste G
Alexandria, VA 22312
Phone (703) 224-8985

2331 Mill Rd
Ste 100
Alexandria, VA 22314
Phone (703) 224-8929

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1448928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448928000000",
    "number": "1982078010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2331 MILL RD",
            "address_2": "SUITE 100",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223144677",
            "telephone_number": "571-297-4756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5702 GENERAL WASHINGTON DR",
            "address_2": "SUITE G",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223122409",
            "telephone_number": "703-224-8985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHODOUSI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-01",
        "last_updated": "2015-12-01",
        "status": "A",
        "authorized_official_last_name": "GHODOUSI",
        "authorized_official_first_name": "ARMAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "703-224-8985"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "VA",
            "license": "15-GTEC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "G-Technology Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; 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.