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MOBILE MEDICAL HEALTH
NPI 1184294357
Physician Assistant in Dulles, VA

Active since June 29, 2021CLIA 49D2202188 · Waiver
44330 MERCURE CIR STE 240E, DULLES, VA 20166(703) 727-0523 Get Directions Write a Review

NPPES record last updated: July 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 8, 2021, Jun 29, 2021 (2 updates tracked since 2021).

About Mobile Medical Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOBILE MEDICAL HEALTH (NPI 1184294357) is a healthcare organization registered as a physician assistant in Dulles, Virginia and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through November 24, 2026 and lists Doug Eustaquio, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1184294357
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameMOBILE MEDICAL HEALTH
Location Address44330 MERCURE CIR STE 240EDulles, VA 20166-2024
Mailing Address44330 Mercure Cir Ste 240eDulles, VA 20166-2024 · (703) 727-0523
Phone(703) 727-0523
Organization SubpartNo
Authorized OfficialDoug EustaquioPractice Manager · (703) 935-0330
Enumeration DateJune 29, 2021
Last NPPES UpdateJuly 8, 20212 updates tracked since enumeration
NPPES CertifiedJuly 8, 2021
✔ NPI 1184294357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
44330 MERCURE CIR STE 240E, Dulles, VA 20166
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Other Names 1

Doing Business AsMobile Medical Health

Other Identifiers 2

Other12196770Caqh
Other1982640405VA · Nppes

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2202188

Mobile Medical Health · Dulles, VA
Active · expires Nov 24, 2026
CLIA Number49D2202188
Laboratory TypeHome Health Agency
Certificate Effective DateNovember 25, 2024
Certificate Expiration DateNovember 24, 2026
Laboratory DirectorAlyssa B. Laeser
Laboratory Phone(703) 727-0523
Laboratory LocationMobile Medical Health44330 Mercure Circle, Suite 240, Dulles, VA 20166
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALYSSA B LAESER PA
Physician Assistant
44330 MERCURE CIR STE 240E
DULLES, VA 20166
Loudoun County (703) 727-0523

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mobile Medical Health's NPI number?

The NPI number for Mobile Medical Health is 1184294357. It was assigned to this organization in the NPPES registry on June 29, 2021.

Where is Mobile Medical Health located?

Mobile Medical Health is located at 44330 Mercure Cir Ste 240E, Dulles, VA 20166. The listed phone number is (703) 727-0523.

What is Mobile Medical Health's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Does Mobile Medical Health hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2202188) is associated with this NPI, valid through November 24, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mobile Medical Health was last updated on July 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.