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NPI Code Detail

MEDICARE: MONICA SUMPTER

MEDICARE:   MONICA  SUMPTER
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
1261Q00000XClinic/Center
2291U00000XClinical Medical Laboratory
3246RP1900XPhlebotomy Technician

General Provider Information

NPI Number : 1760335301
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONICA SUMPTER
Provider Business Mailing Address
First Line : 4860 COX RD STE 200
Second Line :
City : GLEN ALLEN
State : VA
Zip : 23060-9248
Country : US
Telephone Number : 804-413-6558
Fax Number :
Provider Business Practice Location Address
First Line : 4860 COX RD STE 200
Second Line :
City : GLEN ALLEN
State : VA
Zip : 23060-9248
Country : US
Telephone Number : 804-413-6558
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2026
Last Update Date : 02/16/2026

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Directions to “ MONICA SUMPTER ” Practice Location

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