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LAKE RIDGE INTERNAL MEDICNE, PC
NPI 1316163256
Internal Medicine in Woodbridge, VA

Active since April 18, 2007CLIA 49D1026249 · Waiver
1725 FINANCIAL LOOP, WOODBRIDGE, VA 22192(703) 492-1108 Get Directions Write a Review

NPPES record last updated: April 16, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lake Ridge Internal Medicne, Pc NPPES

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

LAKE RIDGE INTERNAL MEDICNE, PC (NPI 1316163256) is a healthcare organization registered as an internal medicine in Woodbridge, Virginia and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through May 27, 2028 and lists Bassam Farah, President, as its authorized official.

NPPES Registry Identity

NPI1316163256
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLAKE RIDGE INTERNAL MEDICNE, PC
Location Address1725 FINANCIAL LOOPWoodbridge, VA 22192-2460
Mailing Address1725 Financial LoopWoodbridge, VA 22192-2460 · (703) 492-1108
Phone(703) 492-1108
Organization SubpartNo
Authorized OfficialBassam FarahPresident · (703) 492-1108
Enumeration DateApril 18, 2007
Last NPPES UpdateApril 16, 2012
✔ NPI 1316163256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1725 FINANCIAL LOOP, Woodbridge, VA 22192
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Other Identifiers 2

Medicare ID-Type UnspecifiedC09155VA
Medicare UPING38010VA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 49D1026249

Lake Ridge Internal Medicine · Woodbridge, VA
Active · expires May 27, 2028
CLIA Number49D1026249
Laboratory TypePhysician Office
Certificate Effective DateMay 28, 2026
Certificate Expiration DateMay 27, 2028
Laboratory DirectorBassam Farah
Laboratory Phone(703) 492-1108
Laboratory LocationLake Ridge Internal Medicine1725 Financial Loop, Woodbridge, VA 22192
CLIA data matches this NPI record on: Address 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.

DR. BASSAM FARAH MD
Internal Medicine
1725 FINANCIAL LOOP
WOODBRIDGE, VA 22192
Prince William County (703) 492-1108

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 Lake Ridge Internal Medicne, PC's NPI number?

The NPI number for Lake Ridge Internal Medicne, PC is 1316163256. It was assigned to this organization in the NPPES registry on April 18, 2007.

Where is Lake Ridge Internal Medicne, PC located?

Lake Ridge Internal Medicne, PC is located at 1725 Financial Loop, Woodbridge, VA 22192. The listed phone number is (703) 492-1108.

What is Lake Ridge Internal Medicne, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Lake Ridge Internal Medicne, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D1026249) is associated with this NPI, valid through May 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lake Ridge Internal Medicne, PC was last updated on April 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.