Organization
MDXL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLY ANNE WALSH CPC (DIRECTOR OF OPERATIONS)
(703) 256-8744
Entity
Organization
Contact information
Practice address
6850 VERSAR CTR, SUITE 302, SPRINGFIELD, VA 22151-4175
(703) 256-8744
(703) 256-8774
Mailing address
6850 VERSAR CTR, SUITE 302, SPRINGFIELD, VA 22151-4175
(703) 256-8744
(703) 256-8774
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
MD
Other
Enumeration date
03/20/2007
Last updated
08/22/2020
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