Organization
LIFESPEED MEDICAL, LLC
Active
Organization
LIFESPEED MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT ANNIBALI (OWNER)
(352) 232-3540
Entity
Organization
Contact information
Practice address
10304 EATON PL STE 100, FAIRFAX, VA 22030-2221
(352) 232-3540
Mailing address
10304 EATON PL STE 100, FAIRFAX, VA 22030-2221
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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