Organization Active NPI

Lorton Urgent Care, PLC

  • Urgent Care Clinic/Center
  • Lorton, VA
National Provider Identifier
1306038989
Registry record updated May 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
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

Updated by the provider on May 18, 2012

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.