Organization
EXPRESS MEDICAL SUPPLY
Active
Organization
EXPRESS MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEBESSA ALEMAYEHU DABA (CEO/OWNER)
(703) 346-8796
Entity
Organization
Contact information
Practice address
6521 ARLINGTON BLVD, SUITE#205, FALLS CHURCH, VA 22042-3009
(703) 533-7585
(866) 866-3534
Mailing address
6521 ARLINGTON BLVD, SUITE#205, FALLS CHURCH, VA 22042-3009
(703) 533-7585
(866) 866-3534
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018559100
—
MD
05
—
0392253 00
—
DC
05
—
1114123890
—
VA
Enumeration date
06/21/2007
Last updated
05/20/2010
Update your record
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