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Contact Information

PERFORMANCE BIOMEDICAL LLC
10817 COURTHOUSE RD
FREDERICKSBURG, VA22408-2627
 Phone: 267-750-9622
 Fax: 888-688-0403
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Customized Equipment

332BC3200X 87 All Other Suppliers
 

Nursing Facility Supplies

332BN1400X 87 All Other Suppliers
 

Prosthetic/Orthotic Supplier

335E00000X 51 Medical Supply Company with Orthotist
Indicates primary specialty

NPI Profile & details for PERFORMANCE BIOMEDICAL LLC

NPI Number 1770875197
LBN Legal business name PERFORMANCE BIOMEDICAL LLC
Authorized official JENNIFER FAY - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/03/2011
Last updated 01/23/2024 - About 2 years ago
Identifiers
PA Medicaid 1027835960001
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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