Organization Active NPI

MDXL, LLC

  • Exclusive Provider Organization
  • Springfield, VA
National Provider Identifier
1821113846
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Legal business name
MDXL, LLC
Practice address
6850 Versar Ctr
Suite 302
Springfield, VA 22151-4175
Phone
(703) 256-8744
Fax
(703) 256-8774
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Kelly Anne Walsh, CPC
Title
Director of Operations
Phone
(703) 256-8744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X MD Primary

Addresses

Primary practice location

6850 Versar Ctr
Suite 302
Springfield, VA 22151-4175

Mailing address

6850 Versar Ctr
Suite 302
Springfield, VA 22151-4175
Phone (703) 256-8744

National Provider Directory

National Provider Directory

Locations

6850 Versar Ctr
Ste 302
Springfield, VA 22151
Phone (703) 256-8744

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821113846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6850 VERSAR CTR",
            "address_2": "SUITE 302",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221514175",
            "telephone_number": "703-256-8744",
            "fax_number": "703-256-8774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 VERSAR CTR",
            "address_2": "SUITE 302",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221514175",
            "telephone_number": "703-256-8744",
            "fax_number": "703-256-8774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDXL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "703-256-8744",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.