GLADEVIEW MEDICAL LLC
NPI 1962022392
Clinic/Center - Primary Care in Fries, VA
About Gladeview Medical Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GLADEVIEW MEDICAL LLC (NPI 1962022392) is a healthcare organization registered as a primary care in Fries, Virginia and active in the NPI registry since April 2020. The organization holds a CLIA Waiver certificate valid through June 24, 2028 and lists Heather Richardson, Family Nurse Practitioner/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 49D2187127
Gladeview Medical LLC · Fries, VAOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Gladeview Medical LLC's NPI number?
The NPI number for Gladeview Medical LLC is 1962022392. It was assigned to this organization in the NPPES registry on April 27, 2020.
Where is Gladeview Medical LLC located?
Gladeview Medical LLC is located at 279 Gladeview Dr, Fries, VA 24330. The listed phone number is (276) 233-7864.
What is Gladeview Medical LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Does Gladeview Medical LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 49D2187127) is associated with this NPI, valid through June 24, 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 Gladeview Medical LLC was last updated on April 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Gladeview Medical Llc · NPI 1962022392
Primary Care organization in Fries, Virginia. Organization record, active in the CMS NPPES registry since April 27, 2020.
## Identity
- **NPI:** 1962022392 (Entity type: Organization)
- **Enumerated:** April 27, 2020
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Heather Richardson, FAMILY NURSE PRACTITIONER/OWNER
## Practice location
- **Address:** 279 GLADEVIEW DR, Fries, VA 24330-3936
- **Phone:** (276) 233-7864
## Record status
- **NPPES last updated:** April 27, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1962022392) · Data from the CMS NPPES public registry.