NPI 1568725786

Tysons-Mclean Asc, LLC

Organisation Specialist Mc Lean, VA

Practice location

Address: 7601 Lewinsville Rd Suite 440, Mc Lean, VA 22102-2814
Phone: (703) 676-3133

Authorised official

Name: Haven Barlow
Title: Secretary Treasurer
Phone: (703) 287-8277

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

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Registry record

NPI: 1568725786
Entity type: Organization
NPI issued: 21 Jun 2012
Record last updated: 21 Jun 2012

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.