Healthcare Provider Details

I. General information

NPI: 1780512749
Provider Name (Legal Business Name): AXOLO HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1915 RANDOLPH RD
CHARLOTTE NC
28207-1101
US

IV. Provider business mailing address

4909 14TH ST N
ARLINGTON VA
22205-2608
US

V. Phone/Fax

Practice location:
  • Phone: 609-923-6197
  • Fax:
Mailing address:
  • Phone: 609-923-6197
  • Fax: 609-923-6197

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: LEIGH GEIGER
Title or Position: COO
Credential: DPT
Phone: 609-923-6197