Organization
PERFORMANCE BIOMEDICAL LLC
Active
Organization
PERFORMANCE BIOMEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER FAY (CEO)
(267) 750-9622
Entity
Organization
Contact information
Practice address
10817 COURTHOUSE RD, FREDERICKSBURG, VA 22408-2627
(267) 750-9622
(888) 688-0403
Mailing address
10817 COURTHOUSE RD, FREDERICKSBURG, VA 22408-2627
(267) 750-9622
(888) 688-0403
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1027835960001
—
PA
Enumeration date
05/03/2011
Last updated
01/23/2024
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