Organization
SPRINGFIELD SUPP CTR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NOEMI LOPES ALBISU (OWNER)
(703) 451-7800
Entity
Organization
Contact information
Practice address
6320 AUGUSTA DR STE 705, SPRINGFIELD, VA 22150-2503
(703) 451-7800
(703) 451-4711
Mailing address
6320 AUGUSTA DR STE 405, SPRINGFIELD, VA 22150-2529
(703) 451-7800
(703) 451-4711
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
VA
Other
Enumeration date
03/17/2008
Last updated
04/05/2011
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