LOUDOUN MEDICAL GROUP PC NPI 1275124356

NPI Information

  • NPI: 1275124356
  • Provider Name: LOUDOUN MEDICAL GROUP, PC
  • Classification: Allergy & Immunology - 207KI0005X
  • Specialization: Clinical & Laboratory Immunology
  • Entity Type: Organization
  • Doing Business As: METROPOLITAN IMMUNE
  • Address: 8260 GREENSBORO DR SUITE A-30
    MCLEAN, VA
    ZIP 22102
  • Phone: (703) 884-8494

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NPI Details

LOUDOUN MEDICAL GROUP, PC is a clinical and laboratory immunology allergy immunology in Mclean, VA. The provider is an allergy and immunology physician who specializes in clinical and laboratory immunology disease management. Source: National Uniform Claim Committee, 2022 Additional Resources: A certification was, but is no longer, issued by the American Board of Allergy and Immunology. LOUDOUN MEDICAL GROUP, PC NPI is 1275124356. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Metropolitan Immune.

The provider's business location address is:

8260 GREENSBORO DR SUITE A-30
MCLEAN, VA
ZIP 22102-935
Phone: (703) 884-8494
Fax: (703) 313-6718

The provider's authorized official is Mary Beth Tamasy .
The authorized official title is Ceo and has the following contact phone number (703) 737-6001.

The enumeration date for this NPI number is 2/1/2021 and was last updated on 12/1/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207KI0005XAllergy & ImmunologyClinical & Laboratory ImmunologyYes

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: 3/30/2025

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