VENESALUD PRIMARY CARE LLC NPI 1669027652

NPI Information

  • NPI: 1669027652
  • Provider Name: VENESALUD PRIMARY CARE, LLC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • CLIA Number: 49D2172002
  • Address: 611 S CARLIN SPRINGS RD STE 412
    ARLINGTON, VA
    ZIP 22204
  • Phone: (703) 344-2004

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NPI Details

VENESALUD PRIMARY CARE, LLC is a clinic center in Arlington, VA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). VENESALUD PRIMARY CARE, LLC NPI is 1669027652. The provider is registered as an organization entity type.

The provider's business location address is:

611 S CARLIN SPRINGS RD STE 412
ARLINGTON, VA
ZIP 22204-087
Phone: (703) 344-2004

The provider's authorized official is Glenda W Thomas .
The authorized official title is Owner and has the following contact phone number (703) 344-2004.

The CLIA number assigned to this NPI record is 49D2172002 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/6/2019 and was last updated on 8/6/2019.

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
1261Q00000XClinic/CenterYes

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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