Healthcare Provider Details

I. General information

NPI: 1518895150
Provider Name (Legal Business Name): CLEARAXISRCM LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42387 FAWN MEADOW PL
CHANTILLY VA
20152-4186
US

IV. Provider business mailing address

42387 FAWN MEADOW PL
CHANTILLY VA
20152-4186
US

V. Phone/Fax

Practice location:
  • Phone: 571-215-5555
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: SANDEEP DEOL
Title or Position: MEMBER
Credential:
Phone: 571-215-5555