NPI Code Details Logo

NPI 1780512749

NPI 1780512749 : AXOLO HEALTH, LLC : CHARLOTTE, NC

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1780512749
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    AXOLO HEALTH, LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    05/11/2026
-----------------------------------------------------
    Last Update Date     |    05/11/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1915 RANDOLPH RD 
-----------------------------------------------------
    City                 |    CHARLOTTE
-----------------------------------------------------
    State                |    NC
-----------------------------------------------------
    Zip                  |    28207-1101
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    609-923-6197
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    4909 14TH ST N 
-----------------------------------------------------
    City                 |    ARLINGTON
-----------------------------------------------------
    State                |    VA
-----------------------------------------------------
    Zip                  |    22205-2608
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    609-923-6197
-----------------------------------------------------
    Fax                  |    609-923-6197
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    COO
-----------------------------------------------------
    Name                 |     LEIGH  GEIGER 
-----------------------------------------------------
    Credential           |    DPT
-----------------------------------------------------
    Telephone            |    609-923-6197
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    332BX2000X
-----------------------------------------------------
    Taxonomy Name        |    Oxygen Equipment & Supplies (DME)
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.