Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CCRM NORTHERN VIRGINIA, LLC
NPI 1770117095
Clinical Medical Laboratory in Vienna, VA

Active since February 25, 2020
8010 TOWERS CRESCENT DR FL 5, VIENNA, VA 22182(571) 789-2100 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 13, 2026, Feb 25, 2020 (2 updates tracked since 2020).

About Ccrm Northern Virginia, Llc NPPES

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

CCRM NORTHERN VIRGINIA, LLC (NPI 1770117095) is a healthcare organization registered as a clinical medical laboratory in Vienna, Virginia and active in the NPI registry since February 2020. The organization lists Matt Tyson, Director, Managed Care Contracting, as its authorized official.

NPPES Registry Identity

NPI1770117095
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameCCRM NORTHERN VIRGINIA, LLC
Location Address8010 TOWERS CRESCENT DR FL 5Vienna, VA 22182-2710
Mailing Address8010 Towers Crescent Dr Fl 5Vienna, VA 22182-2710
Organization SubpartNo
Authorized OfficialMatt TysonDirector, Managed Care Contracting · (615) 477-6677
Enumeration DateFebruary 25, 2020
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
NPPES CertifiedJuly 13, 2026
NPI 1770117095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
8010 TOWERS CRESCENT DR FL 5, Vienna, VA 22182

Other Identifiers 1

Other49D2129549Clia

Other Providers at the Same Location NPPES 8

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

Obstetrics & Gynecology (Reproductive Endocrinology)
8010 TOWERS CRESCENT DR FL 5
VIENNA, VA 22182
Advanced Practice Midwife
8010 TOWERS CRESCENT DR FL 5
VIENNA, VA 22182
Nurse Practitioner
8010 TOWERS CRESCENT DR FL 5
VIENNA, VA 22182
Nurse Practitioner (Family)
8010 TOWERS CRESCENT DR FL 5
VIENNA, VA 22182
Nurse Practitioner (Family)
8010 TOWERS CRESCENT DR FL 5
VIENNA, VA 22182
Obstetrics & Gynecology (Reproductive Endocrinology)
8010 TOWERS CRESCENT DR FL 5
VIENNA, VA 22182
Nurse Practitioner (Women's Health)
8010 TOWERS CRESCENT DR FL 5
VIENNA, VA 22182
Obstetrics & Gynecology (Reproductive Endocrinology)
8010 TOWERS CRESCENT DR FL 5
VIENNA, VA 22182

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 Ccrm Northern Virginia, LLC's NPI number?

The NPI number for Ccrm Northern Virginia, LLC is 1770117095. It was assigned to this organization in the NPPES registry on February 25, 2020.

Where is Ccrm Northern Virginia, LLC located?

Ccrm Northern Virginia, LLC is located at 8010 Towers Crescent Dr Fl 5, Vienna, VA 22182. The listed phone number is (571) 789-2100.

What is Ccrm Northern Virginia, LLC's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

When was this NPI record last updated?

The NPPES record for Ccrm Northern Virginia, LLC was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.