Healthcare Provider Details

I. General information

NPI: 1629989322
Provider Name (Legal Business Name): A2Z MOBILITY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11108 MAIN ST
FAIRFAX VA
22030-5005
US

IV. Provider business mailing address

11108 MAIN ST
FAIRFAX VA
22030-5005
US

V. Phone/Fax

Practice location:
  • Phone: 703-344-1016
  • Fax:
Mailing address:
  • Phone: 703-344-1016
  • Fax:

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: BEN BASIT
Title or Position: SALES MANAGER
Credential: CS
Phone: 571-561-9966