NOVA DIALYSIS WOODBINE
NPI 1316789027
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Alexandria, VA

Q: What is Nova Dialysis Woodbine's NPI number?

The NPI number for Nova Dialysis Woodbine is 1316789027. It was assigned to this organization in the NPPES registry on June 12, 2024.

Q: What is Nova Dialysis Woodbine's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Active since June 12, 2024

2729 KING ST, ALEXANDRIA, VA 22302(301) 577-1007(301) 577-1006 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 8, 2024, Jun 12, 2024 (2 updates tracked since 2024).

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About Nova Dialysis Woodbine NPPES

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

NOVA DIALYSIS WOODBINE (NPI 1316789027) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Alexandria, Virginia and active in the NPI registry since June 2024. The organization lists Minessia Z Pearson, Cfo, as its authorized official.

NPPES Registry Identity

NPI1316789027

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameNOVA DIALYSIS WOODBINE

Location Address2729 KING STAlexandria, VA 22302-4008

Mailing Address9320 Annapolis Rd Ste 200Lanham, MD 20706-3121 · (301) 577-1007 · Fax (301) 577-1006

Phone(301) 577-1007

Fax(301) 577-1006

Organization SubpartNo

Authorized OfficialMinessia Z PearsonCfo · (301) 577-1007

Enumeration DateJune 12, 2024

Last NPPES UpdateJuly 8, 20242 updates tracked since enumeration

NPPES CertifiedJuly 8, 2024

✔ NPI 1316789027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities

Taxonomy Code261QE0700X

2729 KING ST, Alexandria, VA 22302

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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 49D2308257

Nova Dialysis Woodbine · Alexandria, VA

Expired · Jul 23, 2026

CLIA Number49D2308257

Laboratory TypeEnd Stage Renal Disease Dialysis Facility

Certificate Effective DateJuly 24, 2024

Certificate Expiration DateJuly 23, 2026

Laboratory DirectorIrmindra Rana

Laboratory Phone(301) 577-1007

Laboratory LocationNova Dialysis Woodbine2729 King St, Alexandria, VA 22302

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

DR. TIFFANY VU D.O.

Physical Medicine & Rehabilitation