Cleanslate Medical Group Of Virginia, Llc

LBN: Cleanslate Medical Group Of Virginia, Llc
Cleanslate Medical Group Of Virginia, Llc is an health care organization with primary practice located at 8220 Meadowbridge Rd Ste 310 , Mechanicsville VA 23116-2340. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is the primary health care specialty. Cleanslate Medical Group Of Virginia, Llc can be contacted via phone (804) 417-0120, or through Smolarek, Matthew Philip via phone (412) 999-5188.

Contact Information

Primary practice address
8220 Meadowbridge Rd Ste 310 Mechanicsville VA 23116-2340
Phone: (804) 417-0120
Fax: (804) 277-3029
Website:
Map and Directions
Authorized official contact:
Name: Smolarek, Matthew Philip
Phone: (412) 999-5188

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X

Profile Details

NPI number 1629549779
LBN Legal business name Cleanslate Medical Group Of Virginia, Llc
DBA Doing business as
Authorized official Smolarek, Matthew Philip
Entity Organization
Organization subpart 1 No
Enumeration date Dec 16th, 2018
Last updated Jul 3rd, 2024 - about 5 months 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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