DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: PTAB LLC

MEDICARE: PTAB 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
1174400000XSpecialistB501869VA

General Provider Information

NPI Number : 1598761249
Entity Type Code : Organization
Provider Name (Legal Business Name) : PTAB LLC
Provider Business Mailing Address
First Line : 21475 RIDGETOP CIR
Second Line : STE 260
City : STERLING
State : VA
Zip : 20166-8580
Country : US
Telephone Number : 703-433-0401
Fax Number : 703-433-0490
Provider Business Practice Location Address
First Line : 21475 RIDGETOP CIRCLE SUITE 260
Second Line :
City : STERLING
State : VA
Zip : 20166-6580
Country : US
Telephone Number : 703-433-0401
Fax Number : 703-433-0490
Authorized Official
Title or Position : CO-OWNER
Name : MR. HUGH FRANCIS BRADIN JR.
Credential :
Telephone Number : 703-433-0401
Provider Enumeration Date : 06/27/2005
Last Update Date : 09/17/2008

Similar Medicare Providers

1407837727 — IVEY G PETERSON PA-C
Practice Location Address:
21475 RIDGETOP CIR , SUITE 150
STERLING, VA
20166-6580
Practice Phone: 703-444-5000
Practice Fax: 703-444-4999
1588645865 — DR. LYNNFORD S WILSON M.D.
Practice Location Address:
21475 RIDGETOP CIR , SUITE 150
STERLING, VA
20166-6580
Practice Phone: 703-444-5000
Practice Fax: 703-444-4999
1528049806 — EDWIN D ENCARNACION PA-C
Practice Location Address:
21475 RIDGETOP CIR , SUITE 150
STERLING, VA
20166-6580
Practice Phone: 703-444-5000
Practice Fax: 703-444-4999
1053392357 — DR. RANDALL S PEYTON M.D.
Practice Location Address:
21475 RIDGETOP CIR , SUITE 150
STERLING, VA
20166-6580
Practice Phone: 703-444-5000
Practice Fax: 703-444-4999
1619959830 — DR. JANET M BAKER M.D.
Practice Location Address:
21475 RIDGETOP CIR , STE 150
STERLING, VA
20166-6580
Practice Phone: 703-444-5000
Practice Fax: 703-444-4999
1407829328 — JOANNA G SHUMAN DPM
Practice Location Address:
21475 RIDGETOP CIR , SUITE 210
STERLING, VA
20166-6580
Practice Phone: 703-421-1900
Practice Fax: 703-433-5006

Directions to “PTAB LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.