Provider Demographics
NPI:1639208564
Name:A A A MEDICAL SUPPLIES & EQUIPMENT INC
Entity Type:Organization
Organization Name:A A A MEDICAL SUPPLIES & EQUIPMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AKOP
Authorized Official - Middle Name:
Authorized Official - Last Name:PILIPOSYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-246-3747
Mailing Address - Street 1:3116 WEDDINGTON RD STE 900
Mailing Address - Street 2:PMB 204
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28105-9407
Mailing Address - Country:US
Mailing Address - Phone:704-246-3747
Mailing Address - Fax:704-246-3749
Practice Address - Street 1:11229 E INDEPENDENCE BLVD
Practice Address - Street 2:SUITE 3
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-4937
Practice Address - Country:US
Practice Address - Phone:704-246-3747
Practice Address - Fax:704-246-3749
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2008-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7704656Medicaid
NC5883100001Medicare NSC