Healthcare Provider Details
I. General information
NPI: 1427980382
Provider Name (Legal Business Name): LUMINOR EQUIP LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
13614 STEPNEY LN
CHANTILLY VA
20151-3413
US
IV. Provider business mailing address
13614 STEPNEY LN
CHANTILLY VA
20151-3413
US
V. Phone/Fax
- Phone: 718-701-8178
- Fax:
- Phone: 718-701-8178
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SABAHAT
KHAN
Title or Position: CEO
Credential:
Phone: 718-701-8178