CENTER FOR VEIN RESTORATION MD LLC; NPI #1346062676

Contact Information

CENTER FOR VEIN RESTORATION MD LLC

11800 SUNRISE VALLEY DR STE 225
RESTON, VA 20191-5336

Phone: 855-830-8346
Fax: 240-473-4321
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Vascular Surgery	2086S0129X	76	Physician/Peripheral Vascular Disease

Indicates primary specialty

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NPI Profile & details for CENTER FOR VEIN RESTORATION MD LLC

NPI Number	`1346062676`
LBN Legal business name	CENTER FOR VEIN RESTORATION MD LLC
Authorized official	LORENA THOMAS - (CREDENTIALING MANAGER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	10/28/2024
Last updated	10/28/2024 - More than a year ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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