MEDICARE: A1 MEDICAL SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1063812022
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A1 MEDICAL SERVICES, LLC

Provider Business Mailing Address
First Line	:	14440 CHERRY LANE CT
Second Line	:	SUITE 115
City	:	LAUREL
State	:	MD
Zip	:	20707-4946
Country	:	US
Telephone Number	:	240-568-6406
Fax Number	:	888-982-1363

Provider Business Practice Location Address
First Line	:	3406 SPRING BROOK DR
Second Line	:
City	:	EDISON
State	:	NJ
Zip	:	08820-4227
Country	:	US
Telephone Number	:	240-568-6406
Fax Number	:	888-982-1363

Authorized Official
Title or Position	:	MANAGER
Name	:	DEVRAJ S ATIT
Credential	:
Telephone Number	:	240-568-6406

Provider Enumeration Date	:	08/27/2014
Last Update Date	:	08/28/2014

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