HEALE MEDICAL LLC NPI 1578140968

NPI Information

NPI: 1578140968
Provider Name: HEALE MEDICAL LLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 49D2246024

Address:
8300 BOONE BLVD STE 150
VIENNA, VA
ZIP 22182
Phone: (917) 379-7365
Get Directions

HEALE MEDICAL LLC is a multi-specialty clinic center in Vienna, VA. HEALE MEDICAL LLC NPI is 1578140968. The provider is registered as an organization entity type.

The provider's business location address is:

8300 BOONE BLVD STE 150
VIENNA, VA
ZIP 22182-671
Phone: (917) 379-7365

The provider's authorized official is Aditya Dubey .
The authorized official title is Authorised Official and has the following contact phone number (571) 367-0000.

The CLIA number assigned to this NPI record is 49D2246024 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/24/2021 and was last updated on 3/24/2021.

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
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

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

NPI Synchronization or Removal

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