Healthcare Provider Details

I. General information

NPI: 1679456073
Provider Name (Legal Business Name): ADVENT MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2025
Last Update Date: 07/31/2025
Certification Date: 07/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3911 REEDS LANDING CIR
MIDLOTHIAN VA
23113-1386
US

IV. Provider business mailing address

3911 REEDS LANDING CIR
MIDLOTHIAN VA
23113-1386
US

V. Phone/Fax

Practice location:
  • Phone: 804-241-6133
  • Fax: 918-856-9234
Mailing address:
  • Phone: 804-241-6133
  • Fax: 918-856-9234

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: HOLLY OLSON
Title or Position: PRESIDENT
Credential:
Phone: 804-241-6133