Northern Virginia Internal Medicine

LBN: Northern Virginia Internal Medicine
Northern Virginia Internal Medicine is an health care organization with primary practice located at 8101 Hinson Farm Rd Suite 119, Alexandria VA 22306-3403. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Northern Virginia Internal Medicine can be contacted via phone (703) 799-7300, or through Clark, Laurence J via phone (703) 799-7300.

Contact Information

Primary practice address
8101 Hinson Farm Rd Suite 119 Alexandria VA 22306-3403
Phone: (703) 799-7300
Fax: (703) 799-8767
Website:
Map and Directions
Authorized official contact:
Name: Clark, Laurence J Doctor of Medicine (MD)
Phone: (703) 799-7300

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0101030440 Virginia

Profile Details

NPI number 1134244320
LBN Legal business name Northern Virginia Internal Medicine
DBA Doing business as
Authorized official Clark, Laurence J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 2007
Last updated Dec 1st, 2009 - about 15 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 1134244320 NPPES
Virginia MEDICAID 006086659
Virginia Other 065941
Virginia Other CC2176

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