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MCLEAN PEDIATRIC ASSOCIATES INC. NPI 1316140692


NPI Information

NPI: 1316140692
Provider Name: MCLEAN PEDIATRIC ASSOCIATES, INC.
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 49D0222869

Address:
6711 WHITTIER AVE
SUITE 101
MCLEAN, VA
ZIP 22101
Phone: (703) 356-5722
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MCLEAN PEDIATRIC ASSOCIATES, INC. is a specialist in Mclean, 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. MCLEAN PEDIATRIC ASSOCIATES, INC. NPI is 1316140692. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6711 WHITTIER AVE
SUITE 101
MCLEAN, VA
ZIP 22101-538
Phone: (703) 356-5722
Fax: (703) 734-3823

The provider's authorized official is Lynette Kelly Taylor .
The authorized official title is Practice Administrator and has the following contact phone number (703) 356-5722.

The CLIA number assigned to this NPI record is 49D0222869 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/6/2007 and was last updated on 8/22/2020.


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
1174400000XSpecialist0101222693VIRGINIAYes

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: 5/5/2024

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