Provider Demographics
NPI:1558473710
Name:REVOLUTIONARY INVENTIONS, INC.
Entity Type:Organization
Organization Name:REVOLUTIONARY INVENTIONS, INC.
Other - Org Name:REVOLUTIONARY INVENTIONS MEDICAL EQUIPMENT SUPPLY
Other - Org Type:Other Name
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:TINA
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHMSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-318-2998
Mailing Address - Street 1:12108 CLEAR CREEK DR
Mailing Address - Street 2:
Mailing Address - City:FORT WASHINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20744-2758
Mailing Address - Country:US
Mailing Address - Phone:301-292-3493
Mailing Address - Fax:301-292-4347
Practice Address - Street 1:12108 CLEAR CREEK DR
Practice Address - Street 2:
Practice Address - City:FORT WASHINGTON
Practice Address - State:MD
Practice Address - Zip Code:20744-2758
Practice Address - Country:US
Practice Address - Phone:301-292-3493
Practice Address - Fax:301-292-4347
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies