Provider Demographics
NPI:1215763594
Name:MEDPRO SOLUTIONS, LLC.
Entity type:Organization
Organization Name:MEDPRO SOLUTIONS, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:PATTISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-386-2136
Mailing Address - Street 1:10985 THRUSH RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20191-4718
Mailing Address - Country:US
Mailing Address - Phone:571-585-0805
Mailing Address - Fax:
Practice Address - Street 1:13800 COPPERMINE RD STE 111
Practice Address - Street 2:
Practice Address - City:HERNDON
Practice Address - State:VA
Practice Address - Zip Code:20171-6163
Practice Address - Country:US
Practice Address - Phone:571-386-2136
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MEDPRO SOLUTIONS, LLC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-09-12
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care