MEDPRIME, LLC (NPI# 1750670543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750670543 |
| Entity Type | Organization |
| Organization Name | MEDPRIME, LLC |
| Practice Address |
12731 Marblestone Dr Woodbridge VA 22192-8307 |
| Mailing Address |
Po Box 2068 Woodbridge VA 22195-2068 |
| Practice Telephone | 7034974700 |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2011-03-31 |
| Authorized Official Name | NAZANIN ALEMZADEH (MEMBER) |
| Authorized Official Telephone | 7034974700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245519636 | Medprime, LLC | Chiropractor | 1197 Peachtee Street Ne, Atlanta, GA 31150 | 2011-08-16 |
| 1578843256 | Medprime, LLC | Chiropractor | 4651 Chamblee Dunwoody Rd, Suite A, Atlanta, GA 30338-6339 | 2011-08-25 |
| 1265711634 | Medprime, LLC | Chiropractor | 3 Ravinia Dr, Suite P-160, Atlanta, GA 30346-2118 | 2011-08-16 |
| 1801175658 | Medprime, LLC | Chiropractor | 229 Peachtree St, Suite A-01, Atlanta, GA 30303-1601 | 2011-08-10 |
| Street Address |
12731 MARBLESTONE DR |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22192-8307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205926854 | Amir Alemzadeh | Internal Medicine | 12731 Marblestone Dr, Ste 200, Woodbridge, VA 22192-8334 | 2006-10-13 |
| 1902406093 | Nathan Owusu | Behavior Technician | 12731 Marblestone Dr, Woodbridge, VA 22192-8333 | 2020-10-28 |
| 1255971073 | Darryl Antonio Davis Jr. | Behavior Technician | 12731 Marblestone Dr, Woodbridge, VA 22192-8333 | 2020-01-09 |
| 1891358123 | Kaitlyn Nichole Clary | Behavioral Analyst | 12731 Marblestone Dr, Woodbridge, VA 22192-8333 | 2019-04-22 |
| 1255831780 | Maham Ahmeed | Behavioral Analyst | 12731 Marblestone Dr, Woodbridge, VA 22192-8333 | 2018-02-21 |
| 1801396395 | Kayla Bryant | Behavioral Analyst | 12731 Marblestone Dr, Woodbridge, VA 22192-8333 | 2018-02-20 |
| 1942715727 | Maria Mabel Castellanos Paz | Physical Therapist | 12731 Marblestone Dr, Woodbridge, VA 22192 | 2017-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245873645 | Ursula Jackson | Technician | 3500 Commission Ct, Woodbridge, VA 22192 | 2019-10-18 |
| 1205480779 | Ki Soo Park | Physical Therapy Assistant | 12825 Minnieville Road Suite 201, Lake Ridge, VA 22192 | 2019-08-01 |
| 1801448329 | Karen Lee Trivett | Specialist/Technologist, Other | 12584 Darby Brook Court, Woodbridge, VA 22192 | 2019-07-15 |
| 1407313166 | Nichele Amelia Thompson | Behavioral Analyst | 2731 Marblestone Dr, 101, Woodbridge, VA 22192 | 2019-02-28 |
| 1952877870 | Kimberly Ann Rojas Vazquez | Behavioral Analyst | 12531 Clipper Dr, Suite 203, Woodbridge, VA 22192 | 2018-10-18 |
| 1104391614 | Ykim Dental | Dentist | 2680 Optiz Blvd., Suite 120, Woodbridge, VA 22192 | 2018-10-11 |
| 1013418755 | Arm Transport | Non-emergency Medical Transport (VAN) | 13000 Harbor Center Dr Ste 132d, Woodbridge, VA 22192 | 2018-02-27 |
| 1811496813 | Francesca Nasi | Behavioral Analyst | 12531 Clipper Dr Ste 203, Woodbridge, VA 22192 | 2018-02-05 |
| 1942729504 | Bismark Transportation Service LLC | Non-emergency Medical Transport (VAN) | 12341 Woodlawn Court, Woodbridge, VA 22192 | 2017-09-14 |
| 1992226344 | Arm Baby Eldery Home Health LLC | Home Health | 13000 Harbor Center Dr # 312c, Woodbridge, VA 22192 | 2017-07-06 |
| Find all providers in zip 22192 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952844896 | Physicians for Ultrasound | Physiological Laboratory | 14904 Jefferson Davis Hwy, 206, Woodbridge, VA 22191-3908 | 2016-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841825593 | Novant Health Uva Health System Imaging Culpeper, LLC | Physiological Laboratory | 509 S Main St Ste 100, Culpeper, VA 22701-3155 | 2020-03-03 |
| 1619347408 | Notalvision Inc. | Physiological Laboratory | 7717 Coppermine Dr, Manassas, VA 20109-2506 | 2015-10-06 |
| 1558750877 | Encephalon Neurodiagnostics | Physiological Laboratory | 46715 Westover Ter, Sterling, VA 20165-7506 | 2015-01-12 |
| 1114263134 | Premier Diagnostics of Virginia | Physiological Laboratory | 430 Southlake Blvd Ste B11, North Chesterfield, VA 23236-3065 | 2012-12-19 |
| 1083880884 | Cougar Sleep Diagnostics, LLC | Physiological Laboratory | 130 Ellett Rd, Christiansburg, VA 24073-1510 | 2008-05-01 |
| 1063566883 | Irwin Kelman Cohen | Physiological Laboratory | 1400 Aqua Vista Ln, Richmond, VA 23231-8136 | 2007-01-22 |
| 1760576607 | Pulmonary Testing of Virginia, Inc | Physiological Laboratory | 4849 Brigadoon Dr, Virginia Beach, VA 23455-1912 | 2006-10-03 |
| 1295784718 | Dhc of Washington, L.L.C. | Physiological Laboratory | 7799 Leesburg Pike, Suite 104s, Falls Church, VA 22043-2408 | 2006-05-10 |
| 1225007420 | Insight Health Corp | Physiological Laboratory | 2786 S Arlington Mill Dr, Arlington, VA 22206-3402 | 2006-03-17 |
| 1427054170 | Sleep Disorders Institute Northeast, L.L.C. | Physiological Laboratory | 4080 Lafayette Center Dr, Unit 230, Chantilly, VA 20151-1218 | 2005-06-27 |
| Find all providers with the same taxonomy | ||||
| City | WOODBRIDGE |
| Zip Code | 22192 |
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| 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.