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MILLENNIUM MEDICAL CENTER LLC
NPI 1689909897
Internal Medicine in Alexandria, VA

Active since October 06, 2009CLIA 49D2000901 · Waiver
3606 FOREST DR, ALEXANDRIA, VA 22302(703) 820-7520 Get Directions Write a Review

NPPES record last updated: October 6, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Millennium Medical Center Llc NPPES

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

MILLENNIUM MEDICAL CENTER LLC (NPI 1689909897) is a healthcare organization registered as an internal medicine in Alexandria, Virginia and active in the NPI registry since October 2009. The organization holds a CLIA Waiver certificate valid through December 7, 2027 and lists Shayma Al-mudhafar, President, as its authorized official.

NPPES Registry Identity

NPI1689909897
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMILLENNIUM MEDICAL CENTER LLC
Location Address3606 FOREST DRAlexandria, VA 22302-1005
Mailing Address3606 Forest DrAlexandria, VA 22302-1005 · (703) 820-7520
Phone(703) 820-7520
Organization SubpartNo
Authorized OfficialShayma Al-mudhafarPresident · (703) 820-7520
Enumeration DateOctober 6, 2009
✔ NPI 1689909897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in VA · 0101242652
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.

3606 FOREST DR, Alexandria, VA 22302
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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 49D2000901

Millennium Medical Center · Falls Church, VA
Active · expires Dec 7, 2027
CLIA Number49D2000901
Laboratory TypePhysician Office
Certificate Effective DateDecember 8, 2025
Certificate Expiration DateDecember 7, 2027
Laboratory DirectorShayma Al-Mudhafar
Laboratory Phone(703) 820-7520
Laboratory LocationMillennium Medical Center6319 Castle Place, Suite 2C, Falls Church, VA 22044
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 3

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

DONALD C DILLON DC
Chiropractor
3606 FOREST DR
ALEXANDRIA, VA 22302
Alexandria City (703) 820-7520
ALEXANDRIA MEDICAL CENTER, INC
Clinic/Center
3606 FOREST DR
ALEXANDRIA, VA 22302
Alexandria City (571) 685-2015
MCLAREN MEDICAL CENTER PC
Family Medicine
3606 FOREST DR, STE B
ALEXANDRIA, VA 22302
Alexandria City (240) 417-6424

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 Millennium Medical Center LLC's NPI number?

The NPI number for Millennium Medical Center LLC is 1689909897. It was assigned to this organization in the NPPES registry on October 6, 2009.

Where is Millennium Medical Center LLC located?

Millennium Medical Center LLC is located at 3606 Forest Dr, Alexandria, VA 22302. The listed phone number is (703) 820-7520.

What is Millennium Medical Center LLC's specialty?

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

Does Millennium Medical Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2000901) is associated with this NPI, valid through December 7, 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 Millennium Medical Center LLC was last updated on October 6, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.