MYPOTENTIAL CLINIC - ROCKVILLE LLC – NPI #1497295406
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

MYPOTENTIAL CLINIC - ROCKVILLE LLC is an AHC clinic located in ROCKVILLE, MD. NPPES has assigned the NPI number 1497295406 to MYPOTENTIAL CLINIC - ROCKVILLE LLC on February 24, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

The NPI profile was previously updated about 8 years ago on Jul 11, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MYPOTENTIAL CLINIC - ROCKVILLE LLC below.

NPI Profile for
MYPOTENTIAL CLINIC - ROCKVILLE LLC

NPI Number
1497295406
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MYPOTENTIAL CLINIC - ROCKVILLE LLC
Primary location
9701 VEIRS DR
ROCKVILLE, MD 20850-3414
Phone: (301) 424-9560 Fax:
Mailing address
2301 RESEARCH BLVD
SUITE 310
ROCKVILLE, MD 20850-3204
Phone: (301) 354-2710 Fax:
Organization Subpart
Yes - MYPOTENTIAL CLINIC - ROCKVILLE LLC is subpart of another organization.
Authorized Official
RICHARD MAZZA
CHIEF FINANCIAL OFFICER
Phone: (301) 354-2710
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.