Provider Type Icon

MATRIX MED INC NPI 1508840729


NPI Information

NPI: 1508840729
Provider Name: MATRIX MED INC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
11240 WAPLES MILL RD
STE 307
FAIRFAX, VA
ZIP 22030
Phone: (703) 563-0044
Get Directions

MATRIX MED INC is a durable medical equipment medical supplies in Fairfax, VA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. MATRIX MED INC NPI is 1508840729. The provider is registered as an organization entity type.

The provider's business location address is:

11240 WAPLES MILL RD
STE 307
FAIRFAX, VA
ZIP 22030-078
Phone: (703) 563-0044
Fax: (703) 563-0028

The provider's authorized official is Ehab Shafik .
The authorized official title is Ceo and has the following contact phone number (703) 563-0044.

The enumeration date for this NPI number is 12/1/2005 and was last updated on 1/23/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15462570001MEDICARE NSCVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.