Organization · Type 2 NPI
Ageless M.d., LLC
Clinic/Center · Arlington, VA
NPI number
1902153992
Active
Practice location
2221 N Buchanan St
Arlington, VA 22207-2526
Fax (703) 859-7689
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | 0101232169 (VA) |
| Corporate Health Clinic/Center | 261QC1800X | 0101232169 (VA) |
| VA Clinic/Center | 261QV0200X | 0101232169 (VA) |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2 other providers at this address
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About NPI 1902153992
Ageless M.d., LLC's National Provider Identifier is 1902153992, issued on Aug 8, 2012. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Arlington, VA. The record was last updated on Oct 10, 2015.