Healthcare Provider Details

I. General information

NPI: 1639089949
Provider Name (Legal Business Name): MVC VA PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10721 MAIN ST STE G8
FAIRFAX VA
22030-6912
US

IV. Provider business mailing address

7125 ORCHARD LAKE RD STE 100
WEST BLOOMFIELD MI
48322-3616
US

V. Phone/Fax

Practice location:
  • Phone: 866-607-2308
  • Fax: 248-479-1900
Mailing address:
  • Phone: 248-847-4924
  • Fax: 248-479-1900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. PHILIP LOPRESTI
Title or Position: PHYSICIAN
Credential: DO
Phone: 248-847-4924