MEDICARE: EZ MOBILITY COMPANY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1124953161
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EZ MOBILITY COMPANY

Provider Business Mailing Address
First Line	:	7011 CALAMO ST STE 103
Second Line	:
City	:	SPRINGFIELD
State	:	VA
Zip	:	22150-3510
Country	:	US
Telephone Number	:	703-436-8883
Fax Number	:

Provider Business Practice Location Address
First Line	:	7011 CALAMO ST STE 103
Second Line	:
City	:	SPRINGFIELD
State	:	VA
Zip	:	22150-3510
Country	:	US
Telephone Number	:	703-436-8883
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	MR. URBAN DAVOS
Credential	:
Telephone Number	:	703-436-8883

Provider Enumeration Date	:	06/12/2026
Last Update Date	:	06/23/2026

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Directions to “EZ MOBILITY COMPANY ” Practice Location

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