Organization Active NPI

Inertia Holdings LLC

  • Urgent Care Clinic/Center
  • Woodbridge, VA
National Provider Identifier
1932747706
Registry record updated Dec 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
INERTIA HOLDINGS LLC
Practice address
12800 Darby Brook CT
Woodbridge, VA 22192-8007
Phone
(703) 490-3729
Fax
(703) 499-9341
NPI assigned
Dec 12, 2019
Last updated
Dec 12, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2019

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

Authorized official

Name
Angelica Canseco
Title
Office Manager
Phone
(703) 490-3729

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

12800 Darby Brook CT
Woodbridge, VA 22192-8007

Mailing address

12800 Darby Brook CT
Woodbridge, VA 22192-8007
Phone (703) 490-3729

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1576108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576108800000",
    "number": "1932747706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12800 DARBY BROOK CT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221928007",
            "telephone_number": "703-490-3729",
            "fax_number": "703-499-9341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12800 DARBY BROOK CT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221928007",
            "telephone_number": "703-490-3729",
            "fax_number": "703-499-9341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INERTIA HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-12",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A",
        "authorized_official_last_name": "CANSECO",
        "authorized_official_first_name": "ANGELICA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "703-490-3729"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; 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.