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49D0946572 CLIA NUMBER - INGRID I CHUNG MD

Laboratory Demographics

CLIA Number: 49D0946572

Facility Name: INGRID I CHUNG MD

Facility Address:
4229 LAFAYETTE CENTER DRIVE - SUITE 1790
CHANTILLY, VA
ZIP 20151
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Facility Phone Number: 703 378-3508

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1073622742

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 49D0946572
LAB Type Physician Office
Facility Name INGRID I CHUNG MD
Street 4229 LAFAYETTE CENTER DRIVE - SUITE 1790
City CHANTILLY
State VA
ZIP 20151
Phone 703 378-3508
CertificateType 4
CertificateEffectiveDate 5/28/2022
CertificateExpirationDate 5/27/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024