Provider Demographics
NPI:1861520611
Name:AMERICAN MEDICAL MOBILITY EQUIPMENT SERVICES INC
Entity type:Organization
Organization Name:AMERICAN MEDICAL MOBILITY EQUIPMENT SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ATTO
Authorized Official - Middle Name:K
Authorized Official - Last Name:KUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-256-1118
Mailing Address - Street 1:5704 GENERAL WASHINGTON DR STE A
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22312-2410
Mailing Address - Country:US
Mailing Address - Phone:703-256-1118
Mailing Address - Fax:703-256-4943
Practice Address - Street 1:5704 GENERAL WASHINGTON DR STE A
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22312-2410
Practice Address - Country:US
Practice Address - Phone:703-256-1118
Practice Address - Fax:703-256-4943
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA=========OtherDME PROVIDER