MEDICARE: AEROFLOW UROLOGY, LLC

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	:	1982179040
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AEROFLOW UROLOGY, LLC

Provider Business Mailing Address
First Line	:	3165 SWEETEN CREEK RD
Second Line	:
City	:	ASHEVILLE
State	:	NC
Zip	:	28803-2115
Country	:	US
Telephone Number	:	888-345-1780
Fax Number	:	800-249-1513

Provider Business Practice Location Address
First Line	:	2616 SHERWOOD HALL LN STE 300
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22306-3154
Country	:	US
Telephone Number	:	828-631-7720
Fax Number	:	866-420-7099

Authorized Official
Title or Position	:	CREDENTIALING & LICENSING MANAGER
Name	:	LARISSA PITTS
Credential	:
Telephone Number	:	888-345-1780

Provider Enumeration Date	:	10/04/2018
Last Update Date	:	04/07/2026

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