Active NPI
Lorton Urgent Care, PLC
- Urgent Care Clinic/Center
- Lorton, VA
National Provider Identifier
1306038989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- LORTON URGENT CARE, PLC
- Practice address
- 7740 Gunston Plaza
Lorton, VA 22079 - Phone
- (703) 339-5858
- Fax
- (703) 339-5860
- NPI assigned
- Aug 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Makonnen Zelleke, MD
- Title
- Director
- Phone
- (703) 339-5858
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
7740 Gunston Plaza
Lorton, VA 22079
Mailing address
7740 Gunston Plaza
Lorton, VA 22079
Phone (703) 728-8283
National Provider Directory
National Provider DirectoryLocations
7740 Gunston Plz
Lorton, VA 22079
Phone (703) 339-5858
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187222400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1337299200000",
"number": "1306038989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7740 GUNSTON PLAZA",
"city": "LORTON",
"state": "VA",
"postal_code": "22079",
"telephone_number": "703-728-8283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7740 GUNSTON PLAZA",
"city": "LORTON",
"state": "VA",
"postal_code": "22079",
"telephone_number": "703-339-5858",
"fax_number": "703-339-5860"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LORTON URGENT CARE, PLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-16",
"last_updated": "2012-05-18",
"status": "A",
"authorized_official_last_name": "ZELLEKE",
"authorized_official_first_name": "MAKONNEN",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "703-339-5858",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lorton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.