Organization
MEDPRIME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAZANIN ALEMZADEH (MEMBER)
(703) 497-4700
Entity
Organization
Contact information
Practice address
12731 MARBLESTONE DR, WOODBRIDGE, VA 22192-8307
(703) 497-4700
Mailing address
PO BOX 2068, WOODBRIDGE, VA 22195-2068
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
03/31/2011
Last updated
03/31/2011
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