Provider Demographics
NPI:1407141484
Name:INOVAMEDS, INC
Entity Type:Organization
Organization Name:INOVAMEDS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GUILLAUME
Authorized Official - Middle Name:SERI
Authorized Official - Last Name:KABERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-300-8409
Mailing Address - Street 1:6911 RICHMOND HWY STE 425
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22306-1803
Mailing Address - Country:US
Mailing Address - Phone:703-300-8409
Mailing Address - Fax:703-718-0932
Practice Address - Street 1:6911 RICHMOND HWY STE 425
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22306-1803
Practice Address - Country:US
Practice Address - Phone:703-300-8409
Practice Address - Fax:703-718-0932
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-17
Last Update Date:2011-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1147963332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies