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REDICLINIC OF VA LLC NPI 1730557430


NPI Information

NPI: 1730557430
Provider Name: REDICLINIC OF VA, LLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
6053 LEESBURG PIKE
FALLS CHURCH, VA
ZIP 22041
Phone: (703) 845-3771
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REDICLINIC OF VA, LLC is a clinic center in Falls Church, VA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). REDICLINIC OF VA, LLC NPI is 1730557430. The provider is registered as an organization entity type.

The provider's business location address is:

6053 LEESBURG PIKE
FALLS CHURCH, VA
ZIP 22041-205
Phone: (703) 845-3771
Fax: (703) 931-1305

The provider's authorized official is Danielle Barrera .
The authorized official title is Chief Operating Officer and has the following contact phone number (713) 580-9489.

The enumeration date for this NPI number is 9/11/2015 and was last updated on 12/23/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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