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EMERSON COMMUNITY CLINIC
NPI 1972099083
Internal Medicine in Washington, DC

Active since July 02, 2018CLIA Certified · 3 labs
508 KENNEDY ST NW STE 207, WASHINGTON, DC 20011(202) 239-0777(202) 849-8814 Get Directions Write a Review

NPPES record last updated: July 30, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 30, 2018, Jul 2, 2018 (2 updates tracked since 2018).

About Emerson Community Clinic NPPES

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

EMERSON COMMUNITY CLINIC (NPI 1972099083) is a healthcare organization registered as an internal medicine in Washington, District Of Columbia and active in the NPI registry since July 2018. The organization holds 3 active CLIA laboratory certificates and lists Fabian Sandoval, Ceo, as its authorized official.

NPPES Registry Identity

NPI1972099083
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameEMERSON CLINIC
Location Address508 KENNEDY ST NW STE 207Washington, DC 20011
Mailing Address508 Kennedy St Nw Ste 306Washington, DC 20011-3010 · (202) 239-0777
Phone(202) 239-0777
Fax(202) 849-8814
Organization SubpartNo
Authorized OfficialFabian SandovalCeo · (202) 239-0777
Enumeration DateJuly 2, 2018
Last NPPES UpdateJuly 30, 20182 updates tracked since enumeration
✔ NPI 1972099083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
Also ListedPediatricsTaxonomy 208000000X
508 KENNEDY ST NW STE 207, Washington, DC 20011
Open in Google Maps ↗

Other Names 1

Doing Business AsEmerson Community Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 3

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 49D2112088

Emerson Clinical Research Institute · Falls Church, VA
Active · expires Apr 20, 2028
CLIA Number49D2112088
Laboratory TypeClinical Research
Certificate Effective DateApril 21, 2026
Certificate Expiration DateApril 20, 2028
Laboratory DirectorFabian Sandoval
Laboratory Phone(202) 239-0777
Laboratory LocationEmerson Clinical Research Institute410 South Washington Street, Falls Church, VA 22046
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 49D2249630

Emerson Clinical Research Institute · Falls Church, VA
Active · expires Jan 20, 2028
CLIA Number49D2249630
Laboratory TypeClinical Research
Certificate Effective DateJanuary 21, 2026
Certificate Expiration DateJanuary 20, 2028
Laboratory DirectorFabian Sandoval
Laboratory Phone(202) 239-0777
Laboratory LocationEmerson Clinical Research Institute6565 Arlington Blvd Suite 400, Falls Church, VA 22042
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 09D2091166

Emerson Clinical Research Institute · Washington, DC
Active · expires Jul 5, 2027
CLIA Number09D2091166
Laboratory TypeClinical Research
Certificate Effective DateJuly 6, 2025
Certificate Expiration DateJuly 5, 2027
Laboratory DirectorDr. Fabian Sandoval
Laboratory Phone(202) 239-0777
Laboratory LocationEmerson Clinical Research Institute1718 Connecticut Ave NW 4th Floor, Washington, DC 20009
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

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

CITYCARE HEALTH SERVICES, INC
Community/Behavioral Health
508 KENNEDY ST NW STE 207
WASHINGTON, DC 20011
District of Columbia (202) 313-7283

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 Emerson Clinic's NPI number?

The NPI number for Emerson Clinic is 1972099083. It was assigned to this organization in the NPPES registry on July 2, 2018. The provider is doing business as Emerson Community Clinic.

Where is Emerson Clinic located?

Emerson Clinic is located at 508 Kennedy St NW Ste 207, Washington, DC 20011. The listed phone number is (202) 239-0777.

What is Emerson Clinic's specialty?

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

Does Emerson Clinic hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Emerson Clinic was last updated on July 30, 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.