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LOUDOUN MEDICAL GROUP PC NPI 1902518947


NPI Information

NPI: 1902518947
Provider Name: LOUDOUN MEDICAL GROUP, PC

Doing Business As: LMG INTERVENTIONAL RADIOLOGY CENTER

Classification: Radiology - 2085R0204X
Entity Type: Organization

Specialization: Vascular & Interventional Radiology

Address:
19500 SANDRIDGE WAY STE 300
LEESBURG, VA
ZIP 20176
Phone: (703) 783-5355
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LOUDOUN MEDICAL GROUP, PC is a vascular and interventional radiology radiology in Leesburg, VA. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. LOUDOUN MEDICAL GROUP, PC NPI is 1902518947. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lmg Interventional Radiology Center.

The provider's business location address is:

19500 SANDRIDGE WAY STE 300
LEESBURG, VA
ZIP 20176-691
Phone: (703) 783-5355
Fax: (703) 348-6376

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 enumeration date for this NPI number is 12/21/2022 and was last updated on 8/9/2023.


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
12085R0204XRadiologyVascular & Interventional RadiologyYes

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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