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1528494994 NPI number — VIRGINIA MEDICAL SERVICES LLC

NPI Number: 1528494994
Health Care Provider/Practitioner: VIRGINIA MEDICAL SERVICES LLC

Information about “1528494994” NPI (VIRGINIA MEDICAL SERVICES LLC) exists in 1528494994 in HTML format HTML  |  1528494994 in plain Text format TXT  |  1528494994 in PDF (Portable Document Format) PDF  |  1528494994 in an XML format XML  formats.

NPI Number : 1528494994 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1528494994",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "VIRGINIA MEDICAL SERVICES LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "25272 RIFFLEFORD SQ",
    "SecondLineMailingAddress": "SUITE 203",
    "MailingAddressCityName": "CHANTILLY",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "20152-5351",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "703-434-9879",
    "MailingAddressFaxNumber": "866-931-1324",
    "FirstLinePracticeLocationAddress": "3534 CARLIN SPRINGS RD",
    "SecondLinePracticeLocationAddress": "SUITE 5",
    "PracticeLocationAddressCityName": "FALLS CHURCH",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "22041-3000",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "703-436-1626",
    "PracticeLocationAddressFaxNumber": "866-931-1324",
    "EnumerationDate": "09/17/2013",
    "LastUpdateDate": "09/17/2013",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SERTSE",
    "AuthorizedOfficialFirstName": "SEIFU",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "MANAGER",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MT(ASCP), MBA",
    "AuthorizedOfficialTelephoneNumber": "703-436-1626",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "291U00000X",
        "TaxonomyName": "Clinical Medical Laboratory",
        "LicenseNumber": "202857",
        "LicenseNumberStateCode": "VA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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