MCLEAN DERMATOLOGY AND SKINCARE CENTER
NPI 1255645776
Clinic/Center - Medical Specialty in Mc Lean, VA

NPI Status: Active since July 27, 2010

Contact Information

6849 OLD DOMINION DR
SUITE 340
MC LEAN, VA
ZIP 22101
Phone: (703) 356-5111
Fax: (703) 388-0873

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  • Organization
  • Clinic/Center
  • Medical Specialty
  • CLIA Number: 49D2013735
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 09-22-2026

About MCLEAN DERMATOLOGY AND SKINCARE CENTER

This page provides the complete NPI Profile along with additional information for Mclean Dermatology And Skincare Center, a provider established in Mc Lean, Virginia operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1255645776 assigned on July 2010. The practitioner's primary taxonomy code is 261QM2500X with license number 01012445533 (VA). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Dr. Lily Talakoub M.d. (Owner)

NPI
1255645776
Provider Name
MCLEAN DERMATOLOGY AND SKINCARE CENTER
Entity Type
Organization
Location Address
6849 OLD DOMINION DR SUITE 340 MC LEAN, VA 22101
Location Phone
(703) 356-5111
Location Fax
(703) 388-0873
Mailing Address
PO BOX 9143 MC LEAN, VA 22102
Mailing Phone
(703) 356-5111
Mailing Fax
(703) 388-0873
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-27-2010
Last Update Date
05-17-2013
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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 Medical Specialty

Taxonomy Code
261QM2500X
Type
Ambulatory Health Care Facilities
License No.
01012445533
License State
VA
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

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

DR. LILY TALAKOUB M.D.

Authorized Official Title
OWNER
Authorized Official Phone
(703) 356-5111

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
49D2013735
Facility Type
Physician Office
Certificate Effective Date
September 23, 2024
Certificate Expiration Date
September 22, 2026
Laboratory Director
LILY TALAKOUB
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Mclean Dermatology And Skincare Center 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.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1255645776, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
5
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
4
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
7
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 6 → 12 → 3 5 → 10 → 1 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 0 + 5 + 1 + 2 + 4 + 1 + 0 + 7 + 1 + 4 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1255645776.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Physical Therapist (Orthopedic)
6849 OLD DOMINION DR, SUITE 221
MCLEAN, VA 22101
Physical Therapist (Orthopedic)
6849 OLD DOMINION DR
MCLEAN, VA 22101
Physical Therapist
6849 OLD DOMINION DR, SUITE 221
MCLEAN, VA 22101
Physical Therapist
6849 OLD DOMINION DR, SUITE 221
MC LEAN, VA 22101
Psychiatry & Neurology (Psychiatry)
6849 OLD DOMINION DR, SUITE 210
MCLEAN, VA 22101
Physical Therapist
6849 OLD DOMINION DR, SUITE 221
MC LEAN, VA 22101
Optometrist
6849 OLD DOMINION DR, #300
MC LEAN, VA 22101
Optometrist
6849 OLD DOMINION DR, SUITE 300
MC LEAN, VA 22101
Physical Therapist (Orthopedic)
6849 OLD DOMINION DR, SUITE 330
MC LEAN, VA 22101
Physical Therapist
6849 OLD DOMINION DR, STE 221
MC LEAN, VA 22101
Clinic/Center (Physical Therapy)
6849 OLD DOMINION DR, SUITE 221
MCLEAN, VA 22101
Psychiatry & Neurology (Neurology)
6849 OLD DOMINION DR, SUITE 300
MC LEAN, VA 22101
Optometrist
6849 OLD DOMINION DR, SUITE 300
MCLEAN, VA 22101

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255645776, enumerated as an "organization" on July 27, 2010.

The provider is located at 6849 OLD DOMINION DR SUITE 340 MC LEAN, VA 22101 and the phone number is (703) 356-5111.

Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.