NPI 1750670543

Medprime, LLC

Organisation Physiological Laboratory Woodbridge, VA

Practice location

Address: 12731 Marblestone Dr, Woodbridge, VA 22192-8307
Phone: (703) 497-4700
Mailing address: PO Box 2068, Woodbridge, VA 22195-2068

Authorised official

Name: Nazanin Alemzadeh
Title: Member
Phone: (703) 497-4700

Registered specialties

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X

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Registry record

NPI: 1750670543
Entity type: Organization
NPI issued: 31 Mar 2011
Record last updated: 31 Mar 2011

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.