Active NPI
MDXL, LLC
- Exclusive Provider Organization
- Springfield, VA
National Provider Identifier
1821113846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Exclusive Provider Organization
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.