Provider Demographics
NPI:1740469519
Name:CLARITYCENTERRX, LLC
Entity type:Organization
Organization Name:CLARITYCENTERRX, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:J
Authorized Official - Last Name:HAMBLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-820-2279
Mailing Address - Street 1:4401 FORD AVE
Mailing Address - Street 2:SUITE 550
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22302-1473
Mailing Address - Country:US
Mailing Address - Phone:703-820-2279
Mailing Address - Fax:703-820-2282
Practice Address - Street 1:4401 FORD AVENUE
Practice Address - Street 2:SUITE 550
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22302
Practice Address - Country:US
Practice Address - Phone:703-820-2279
Practice Address - Fax:703-820-2282
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-30
Last Update Date:2009-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE070118871332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
6192090001Medicare NSC