Perfect Storm

LBN: Perfect Storm
Perfect Storm is an health care organization with primary practice located at 6800 Fleetwood Rd Ste 110 , Mc Lean VA 22101-3604. The organization recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Nutrition, Education. Dietary & Nutritional Service Providers / Nutritionist is the primary health care specialty. Perfect Storm can be contacted via phone (703) 388-9073, or through Blassingame, Monderray via phone (703) 388-9073.

Contact Information

Primary practice address
6800 Fleetwood Rd Ste 110 Mc Lean VA 22101-3604
Phone: (703) 388-9073
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Blassingame, Monderray
Phone: (703) 388-9073

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X

Profile Details

NPI number 1376226456
LBN Legal business name Perfect Storm
DBA Doing business as
Authorized official Blassingame, Monderray
Entity Organization
Organization subpart 1 No
Enumeration date Aug 7th, 2023
Last updated Aug 7th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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