INOVA AMBULATORY SURGERY CENTER AT LORTON, LLC


Address: 9321 Sanger St, Suite 200, Lorton, VA 22079-2720
Phone: 7039227631

INOVA AMBULATORY SURGERY CENTER AT LORTON, LLC (NPI# 1659793891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659793891
Entity Type Organization
Organization Name INOVA AMBULATORY SURGERY CENTER AT LORTON, LLC
Practice Address 9321 Sanger St
Suite 200
Lorton
VA 22079-2720
Practice Telephone 7039227631
Enumeration Date 2014-01-07
Last Update Date 2014-01-07
Authorized Official Name MR. ARTUR SIVASLIAN (VICE-PRESIDENT AMBULATORY SURGERY)
Authorized Official Telephone 7039225345
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
Ambulatory Health Care Facilities

Office Location

Street Address 9321 SANGER ST
SUITE 200
City LORTON
State VA
Zip Code 22079-2720

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NPI Name Taxonomy Address Enumeration
1720123409 Irene Osaro Odigie Emergency Medicine 9321 Sanger St, Lorton, VA 22079-2720 2007-02-21

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1720339559 Jacqueline K Campbell Nurse Practitioner 8988 Lorton Market Street, # 100, Lorton, VA 22079 2012-09-19
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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

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Competitor

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City LORTON
Zip Code 22079

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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