MCLEAN TYSONS ORTHOPEDIC SURGERY CENTER, LLC is an ambulatory surgical clinic center in Mc Lean, VA. MCLEAN TYSONS ORTHOPEDIC SURGERY CENTER, LLC NPI is 1942883764. The provider is registered as an organization entity type.
The provider's business location address is:
1760 OLD MEADOW RD
MC LEAN, VA
ZIP 22102-331
Phone: (860) 667-9542
The provider's authorized official is Lucille Formeister .
The authorized official title is Dir. Bus Systems and has the following contact phone number (860) 667-9542.
The CLIA number assigned to this NPI record is 49D2255598 - ambulatory surgery center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/29/2021 and was last updated on 4/29/2021.