Lady M Mastectomy Boutique

LBN: Gladys Rea Smith
Lady M Mastectomy Boutique is an health care organization with primary practice located at 50 S Pickett St Suite 210, Alexandria VA 22304-7207. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Gladys Rea Smith can be contacted via phone (703) 461-7534, or through Smith, Gladys via phone (703) 461-7534.

Contact Information

Primary practice address
50 S Pickett St Suite 210 Alexandria VA 22304-7207
Fax:
Website:
Authorized official contact:
Name: Smith, Gladys

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X C18127 Maryland

Profile Details

NPI number 1528243508
LBN Legal business name Gladys Rea Smith
DBA Doing business as Lady M Mastectomy Boutique
Authorized official Smith, Gladys
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2008
Last updated Jul 3rd, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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