Provider Demographics
NPI:1518020221
Name:JUST IN TIME MEDICAL SERVICES LLC
Entity Type:Organization
Organization Name:JUST IN TIME MEDICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:IKE
Authorized Official - Middle Name:J
Authorized Official - Last Name:NWEKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-204-0001
Mailing Address - Street 1:8301 ARLINGTON BLVD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-2902
Mailing Address - Country:US
Mailing Address - Phone:703-204-0001
Mailing Address - Fax:703-204-0035
Practice Address - Street 1:8301 ARLINGTON BLVD
Practice Address - Street 2:SUITE 107
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-2902
Practice Address - Country:US
Practice Address - Phone:703-204-0001
Practice Address - Fax:703-204-0035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-18
Last Update Date:2008-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV89387332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
5844410001Medicare NSC