NPI 1043676182

Loudoun Medical Group, PC

Organisation Clinical Medical Laboratory Leesburg, VA

Practice location

Address: 19450 Deerfield Ave STE 375, Leesburg, VA 20176-6822
Phone: (571) 789-1846
Fax: (703) 687-3996
Mailing address: 224d Cornwall St NW STE 403, Leesburg, VA 20176-2704

Authorised official

Name: Mary Beth Tamasy
Title: Ceo
Phone: (703) 737-6010

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X

Other Clinical Medical Laboratory providers in Virginia →

Registry record

NPI: 1043676182
Entity type: Organization
NPI issued: 5 Jan 2016
Record last updated: 18 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.