Healthcare Provider Details

I. General information

NPI: 1982179040
Provider Name (Legal Business Name): AEROFLOW UROLOGY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2018
Last Update Date: 04/30/2020
Certification Date: 04/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2616 SHERWOOD HALL LN STE 300
ALEXANDRIA VA
22306-3154
US

IV. Provider business mailing address

3165 SWEETEN CREEK RD
ASHEVILLE NC
28803-2115
US

V. Phone/Fax

Practice location:
  • Phone: 844-276-5588
  • Fax: 866-420-7099
Mailing address:
  • Phone: 888-345-1780
  • Fax: 800-249-1513

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: CASEY LEO HITE
Title or Position: PRESIDENT
Credential:
Phone: 828-277-1400