Ccrm Northern Virginia, Llc

LBN: Ccrm Northern Virginia, Llc
Ccrm Northern Virginia, Llc is an health care organization with primary practice located at 8010 Towers Crescent Dr Fl 5 , Vienna VA 22182-2710. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Ccrm Northern Virginia, Llc can be contacted via phone (571) 789-2100, or through Pardew, Jon via phone (303) 968-1950.

Contact Information

Primary practice address
8010 Towers Crescent Dr Fl 5 Vienna VA 22182-2710
Phone: (571) 789-2100
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pardew, Jon
Phone: (303) 968-1950

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X

Profile Details

NPI number 1770117095
LBN Legal business name Ccrm Northern Virginia, Llc
DBA Doing business as
Authorized official Pardew, Jon
Entity Organization
Organization subpart 1 No
Enumeration date Feb 25th, 2020
Last updated Feb 25th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770117095 NPPES
Other 49D2129549 CLIA

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