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MYPOTENTIAL CLINIC - ROCKVILLE LLC
NPI 1497295406
Clinic/Center in Rockville, MD

Active since February 24, 2017CLIA 21D2130619 · Waiver
9701 VEIRS DR, ROCKVILLE, MD 20850(301) 424-9560 Get Directions Write a Review

NPPES record last updated: July 11, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 11, 2018, Feb 24, 2017 (2 updates tracked since 2017).

About Mypotential Clinic - Rockville Llc NPPES

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

MYPOTENTIAL CLINIC - ROCKVILLE LLC (NPI 1497295406) is a healthcare organization registered as a clinic/center in Rockville, Maryland and active in the NPI registry since February 2017. The organization holds a CLIA Waiver certificate valid through May 14, 2027 and lists Richard M Mazza, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1497295406
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameMYPOTENTIAL CLINIC - ROCKVILLE LLC
Location Address9701 VEIRS DRRockville, MD 20850-3414
Mailing Address2301 Research Blvd, Suite 310Rockville, MD 20850-3204 · (301) 354-2710
Phone(301) 424-9560
Organization SubpartYesParent: National Lutheran Inc
Authorized OfficialRichard M MazzaChief Financial Officer · (301) 354-2710
Enumeration DateFebruary 24, 2017
Last NPPES UpdateJuly 11, 20182 updates tracked since enumeration
✔ NPI 1497295406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
9701 VEIRS DR, Rockville, MD 20850
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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 21D2130619

Mypotential Clinic- Rockville LLC · Rockville, MD
Active · expires May 14, 2027
CLIA Number21D2130619
Laboratory TypeRetirement Community
Certificate Effective DateMay 15, 2025
Certificate Expiration DateMay 14, 2027
Laboratory DirectorDr. Nader Tavakoli-Jalli
Laboratory Phone(301) 354-8420
Laboratory LocationMypotential Clinic- Rockville LLC9701 Veirs Drive St 2000, Rockville, MD 20850
CLIA data matches this NPI record on: Address Name
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.

EMMANUEL MENSAH
Physical Therapy Assistant
9701 VEIRS DR
ROCKVILLE, MD 20850
Montgomery County (301) 424-9560
THE VILLAGE AT ROCKVILLE, INC.
Skilled Nursing Facility
9701 VEIRS DR
ROCKVILLE, MD 20850
Montgomery County (301) 424-9560
LAUREN ANN SMYTH COTA/L
Occupational Therapy Assistant
9701 VEIRS DR
ROCKVILLE, MD 20850
Montgomery County (301) 424-9560
ABBEY BONK
Occupational Therapy Assistant
9701 VEIRS DR
ROCKVILLE, MD 20850
Montgomery County (301) 424-9560
SANDEEP SHARMA M.D.
Internal Medicine
9701 VEIRS DR
ROCKVILLE, MD 20850
Montgomery County (301) 675-4279
REBECCA BOND
Physical Therapy Assistant
9701 VEIRS DR
ROCKVILLE, MD 20850
Montgomery County (301) 354-8490
MICHELE TYLER DONA CHAMBERS OTR/L
Occupational Therapist
9701 VEIRS DR
ROCKVILLE, MD 20850
Montgomery County (301) 424-9560
JISHA JAPAGNANAM MULLONKAL MS. CCC-SLP
Speech-Language Pathologist
9701 VEIRS DR
ROCKVILLE, MD 20850
Montgomery County (240) 394-2543

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 Mypotential Clinic - Rockville LLC's NPI number?

The NPI number for Mypotential Clinic - Rockville LLC is 1497295406. It was assigned to this organization in the NPPES registry on February 24, 2017.

Where is Mypotential Clinic - Rockville LLC located?

Mypotential Clinic - Rockville LLC is located at 9701 Veirs Dr, Rockville, MD 20850. The listed phone number is (301) 424-9560.

What is Mypotential Clinic - Rockville LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Mypotential Clinic - Rockville LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2130619) is associated with this NPI, valid through May 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mypotential Clinic - Rockville LLC was last updated on July 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.