Healthcare Provider Details
I. General information
NPI: 1932024460
Provider Name (Legal Business Name): URGENT CARE SUPPLIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8498 INDIAN PAINTBRUSH WAY
LORTON VA
22079-5609
US
IV. Provider business mailing address
8498 INDIAN PAINTBRUSH WAY LORTON
LORTON VA
22079-5609
US
V. Phone/Fax
- Phone: 703-508-6620
- Fax:
- Phone: 703-508-6620
- 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:
MAHAD
HASHMI
Title or Position: DIRECTOR
Credential:
Phone: 703-508-6620