Provider Demographics
NPI:1437021557
Name:MEDSOL LLC
Entity type:Organization
Organization Name:MEDSOL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:USMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:IJAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-682-8438
Mailing Address - Street 1:4041 UNIVERSITY DR STE 325-B
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-3414
Mailing Address - Country:US
Mailing Address - Phone:845-682-8438
Mailing Address - Fax:
Practice Address - Street 1:4041 UNIVERSITY DR STE 325-B
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-3414
Practice Address - Country:US
Practice Address - Phone:845-682-8438
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MEDSOL LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-09-18
Last Update Date:2025-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies