Provider Demographics
NPI:1659664761
Name:MCLEOD BUSINESS GROUP, INC.
Entity Type:Organization
Organization Name:MCLEOD BUSINESS GROUP, INC.
Other - Org Name:MBG, INC.
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BOBBY
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:MCLEOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-669-3023
Mailing Address - Street 1:1425 K ST NW
Mailing Address - Street 2:SUITE 350
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20005-3500
Mailing Address - Country:US
Mailing Address - Phone:202-669-3023
Mailing Address - Fax:
Practice Address - Street 1:1425 K ST NW
Practice Address - Street 2:SUITE 350
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20005-3500
Practice Address - Country:US
Practice Address - Phone:202-669-3023
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-23
Last Update Date:2011-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty