Mia Luna Sevices

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MIA LUNA SEVICES

Practice address

205 Van Buren St Ste 120
Herndon, VA 20170-5336

Phone

(703) 459-0040

NPI assigned

Apr 23, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jocyln Galeano

Title

Director

Phone

(703) 459-0040

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1713830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1366297186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 VAN BUREN ST STE 120",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201705336",
            "telephone_number": "703-459-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 VAN BUREN ST STE 120",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201705336",
            "telephone_number": "703-459-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIA LUNA SEVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-23",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "GALEANO",
        "authorized_official_first_name": "JOCYLN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "703-459-0040"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ralph Frank Meoni, D.AC., DIPL. AC., L.
• Diana K Mercer
• Daniela Maria Querubin Mesina, PT
• Metro Central Market (M C Market)
• Stephanie Meul
• Beth Crawford Mich, LPC
• Michael G. Cattafesta, DDS, PC
• Lini Cai Mickus, D.M.D
• Mid-Atlantic Psychotherapy, PLLC
• Midblue Medical Supplies LLC

• Clinical Medical Laboratory in Herndon, VA
• Providers in Herndon, VA by specialty
• Clinical Medical Laboratory in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.