Provider Demographics
NPI:1831527126
Name:ADA SPECIALTIES
Entity type:Organization
Organization Name:ADA SPECIALTIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:J
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-892-0449
Mailing Address - Street 1:2944 ORANGE AVE NE
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24012-6339
Mailing Address - Country:US
Mailing Address - Phone:540-982-3526
Mailing Address - Fax:540-985-9166
Practice Address - Street 1:2944 ORANGE AVE NE
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24012-6339
Practice Address - Country:US
Practice Address - Phone:540-982-3526
Practice Address - Fax:540-985-9166
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:F & S BUILDING INNOVATIONS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-10-23
Last Update Date:2013-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies