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Organization

BIO PROSTHETIC-ORTHOTIC LAB, INC.

Active
Other names
Bio Lab
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ERIC SHAWN FORD (OFFICE OPERATIONS MANAGER)
(703) 726-4092
Entity
Organization

Contact information

Practice address
21785 FILIGREE COURT, SUITE 210, ASHBURN, VA 20147
(703) 726-4092
(703) 726-4095
Mailing address
21785 FILIGREE COURT, SUITE 210, ASHBURN, VA 20147
(703) 726-4092
(703) 726-4095

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
332BC3200X
Customized Equipment (DME)
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
031289800
DC
05
255938200
MD
05
9190724
VA
Enumeration date
10/04/2006
Last updated
04/01/2025
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