LOUDOUN MEDICAL GROUP PC NPI 1295201895

NPI Information

  • NPI: 1295201895
  • Provider Name: LOUDOUN MEDICAL GROUP, PC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Doing Business As: LMG INFUSION CENTER- DME
  • CLIA Number: 49D2162175
  • Address: 19500 SANDRIDGE WAY, SUITE 450
    LEESBURG, VA
    ZIP 20176
  • Phone: (703) 656-9805

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NPI Details

LOUDOUN MEDICAL GROUP, PC is a specialist in Leesburg, VA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. LOUDOUN MEDICAL GROUP, PC NPI is 1295201895. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lmg Infusion Center- Dme.

The provider's business location address is:

19500 SANDRIDGE WAY, SUITE 450
LEESBURG, VA
ZIP 20176-467
Phone: (703) 656-9805
Fax: (703) 729-6576

The provider's authorized official is Mary Beth Tamasy .
The authorized official title is Ceo and has the following contact phone number (703) 737-6010.

The CLIA number assigned to this NPI record is 49D2162175 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/22/2018 and was last updated on 10/21/2024.

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
1174400000XSpecialistYes
2261QI0500XClinic/CenterInfusion TherapyNo
3332900000XNon-Pharmacy Dispensing SiteNo

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: 11/21/2025

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