Healthcare Provider Details

I. General information

NPI: 1306995295
Provider Name (Legal Business Name): CORPORATE HEALTH CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

46440 BENEDICT DRIVE SUITE 108
STERLING VA
20164
US

IV. Provider business mailing address

46440 BENEDICT DRIVE SUITE 108
STERLING VA
20164
US

V. Phone/Fax

Practice location:
  • Phone: 703-444-5656
  • Fax: 703-444-5789
Mailing address:
  • Phone: 703-444-5656
  • Fax: 703-444-5789

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JAMES A LAPSLEY
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 703-737-6010