Provider Demographics
NPI:1164268975
Name:A & COLES MEDICAL EQUIPMENT LLC
Entity type:Organization
Organization Name:A & COLES MEDICAL EQUIPMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GIVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MWALE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-591-2025
Mailing Address - Street 1:9401 MATHY DR STE 365
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-5310
Mailing Address - Country:US
Mailing Address - Phone:571-591-2025
Mailing Address - Fax:571-407-7121
Practice Address - Street 1:9401 MATHY DR STE 365
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-5310
Practice Address - Country:US
Practice Address - Phone:571-591-2025
Practice Address - Fax:571-407-7121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-02
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies