LMG CORNWALL URGENT CARE
NPI 1205355906
Clinic/Center - Urgent Care in Leesburg, VA

NPI Status: Active since September 13, 2017

Contact Information

211 GIBSON STREET, NW, SUITE 215
LEESBURG, VA
ZIP 20176
Phone: (571) 707-2085
Fax: (571) 291-9196

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  • Organization
  • Clinic/Center
  • Urgent Care
  • CLIA Number: 49D2233307
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-22-2025

About LMG CORNWALL URGENT CARE

This page provides the complete NPI Profile along with additional information for Lmg Cornwall Urgent Care, a provider established in Leesburg, Virginia operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1205355906 assigned on September 2017. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Lmg Cornwall Urgent Care. The authorized official of this NPI record is Mary Beth Tamasy (Ceo)

NPI
1205355906
Provider Legal Name
LOUDOUN MEDICAL GROUP, PC
Other Organization Name
LMG CORNWALL URGENT CARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
211 GIBSON STREET, NW, SUITE 215 LEESBURG, VA 20176
Location Phone
(571) 707-2085
Location Fax
(571) 291-9196
Mailing Address
224-D CORNWALL STREET, NW, SUITE 403 LEESBURG, VA 20176
Mailing Phone
(703) 737-6010
Mailing Fax
(571) 291-9196
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-13-2017
Last Update Date
08-18-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Urgent Care

Taxonomy Code
261QU0200X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARY BETH TAMASY

Authorized Official Title
CEO
Authorized Official Phone
(703) 737-6010

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
49D2233307
Facility Type
Physician Office
Certificate Effective Date
August 23, 2023
Certificate Expiration Date
August 22, 2025
Laboratory Director
JOSEPH LEE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Lmg Cornwall Urgent Care to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for LMG CORNWALL URGENT CARE

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1205355906
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2205651090
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 0 + 5 + 6 + 5 + 1 + 0 + 9 + 0 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1205355906 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1457955833LOUDOUN MEDICAL GROUP, PC
Organization
Speech-Language Pathologist211 GIBSON STREET, NW, SUITE 215
LEESBURG, VA 20176
(571) 707-2067
1407354228LOUDOUN MEDICAL GROUP, PC
Organization
Family Medicine211 GIBSON STREET, NW, SUITE 215
LEESBURG, VA 20176
(571) 707-2085
1134115603 JOSEPH YIM LEE MD
Individual
Family Medicine211 GIBSON STREET, NW, SUITE 215
LEESBURG, VA 20176
(571) 707-2085
1700533379 DANIELLE ZIMMET PA-C
Individual
Physician Assistant211 GIBSON STREET, NW, SUITE 215
LEESBURG, VA 20176
(571) 707-2085
1174965347 CLORISSA FISCHETTI FNP
Individual
Nurse Practitioner211 GIBSON STREET, NW, SUITE 215
LEESBURG, VA 20176
(571) 707-2085
1972833820 ANGELA DUHAIME PA-C
Individual
Physician Assistant211 GIBSON STREET, NW, SUITE 215
LEESBURG, VA 20176
(571) 707-2085
1629100185 MOIRA HANLEY-NIEMAN PA-C
Individual
Physician Assistant (Medical)211 GIBSON STREET, NW, SUITE 215
LEESBURG, VA 20176
(571) 707-2085
1851709828MRS. ANNE MARIE CRAIG FNP
Individual
Nurse Practitioner (Family)211 GIBSON STREET, NW, SUITE 215
LEESBURG, VA 20176
(571) 707-2085
1376132803 REGAN ASHLEIGH HOUSTON PA-C
Individual
Physician Assistant211 GIBSON STREET, NW, SUITE 215
LEESBURG, VA 20176
(571) 707-2085
1447023205 EMILY T MELO FNP-C
Individual
Nurse Practitioner (Family)211 GIBSON STREET, NW, SUITE 215
LEESBURG, VA 20176
(571) 707-2085
1629875752 KAIE MANOR FNP-BC
Individual
Nurse Practitioner (Family)211 GIBSON STREET, NW, SUITE 215
LEESBURG, VA 20176
(571) 707-2085

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205355906, enumerated in the NPI registry as an "organization" on September 13, 2017

The provider is located at 211 Gibson Street, Nw, Suite 215 Leesburg, Va 20176 and the phone number is (571) 707-2085

This medical organization specializes in Clinic/Center with taxonomy code 261QU0200X with a focus in Urgent Care

The provider's CLIA number is 49D2233307 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on September 13, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.