Organization · Type 2 NPI

Loudoun Medical Group, PC

Clinical & Laboratory Immunology (Allergy & Immunology) Physician · Mclean, VA

NPI number 1275124356 Active

Practice location

8260 Greensboro Dr Suite A-30
Mclean, VA 22102-4935

Call (703) 884-8494 Map

Fax (703) 313-6718

Mailing address

224D Cornwall St NW Ste 403
Leesburg, VA 20176-2704

Specialties and licenses

Taxonomy	Code	License
Clinical & Laboratory Immunology (Allergy & Immunology) Physician Primary	207KI0005X	None listed

Clinical & Laboratory Immunology (Allergy & Immunology) Physician: An allergy and immunology physician who specializes in clinical and laboratory immunology disease management..

NPI record

NPI: 1275124356
Entity type: Organization (Type 2)
Issued: Feb 1, 2021
Last updated: Dec 1, 2023
Status: Active
Subpart: Yes of Loudoun Medical Group, PC

Other names

<unavail>
Metropolitan Immune · doing business as
Metropolitan Immune · doing business as

Authorized official

Mary Beth Tamasy
CEO
(703) 737-6001

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1275124356

Loudoun Medical Group, PC's National Provider Identifier is 1275124356, issued on Feb 1, 2021. The primary taxonomy on file is Clinical & Laboratory Immunology (Allergy & Immunology) Physician (207KI0005X), and the practice location is in Mclean, VA. The record was last updated on Dec 1, 2023.