Provider Demographics
NPI:1487963369
Name:ABILITECH
Entity type:Organization
Organization Name:ABILITECH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ZACHARY
Authorized Official - Middle Name:
Authorized Official - Last Name:STOKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-565-8607
Mailing Address - Street 1:10453 GREENE DR
Mailing Address - Street 2:
Mailing Address - City:LORTON
Mailing Address - State:VA
Mailing Address - Zip Code:22079-3541
Mailing Address - Country:US
Mailing Address - Phone:703-565-8607
Mailing Address - Fax:866-313-0568
Practice Address - Street 1:10453 GREENE DR
Practice Address - Street 2:
Practice Address - City:LORTON
Practice Address - State:VA
Practice Address - Zip Code:22079-3541
Practice Address - Country:US
Practice Address - Phone:703-565-8607
Practice Address - Fax:866-313-0568
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-27
Last Update Date:2010-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies