Provider Demographics
NPI:1821267196
Name:QUALITY DME, INC.
Entity Type:Organization
Organization Name:QUALITY DME, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:AUSTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-288-9131
Mailing Address - Street 1:8530 CINDER BED RD STE 2300
Mailing Address - Street 2:
Mailing Address - City:LORTON
Mailing Address - State:VA
Mailing Address - Zip Code:22079-1478
Mailing Address - Country:US
Mailing Address - Phone:703-288-9131
Mailing Address - Fax:703-288-4388
Practice Address - Street 1:8530 CINDER BED RD STE 2300
Practice Address - Street 2:
Practice Address - City:LORTON
Practice Address - State:VA
Practice Address - Zip Code:22079-1478
Practice Address - Country:US
Practice Address - Phone:703-288-9131
Practice Address - Fax:703-288-4388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-21
Last Update Date:2020-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1821267196Medicaid
6718010001Medicare NSC