Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ccrm Northern Virginia, LLC

Organization Clinical Medical Laboratory · NPI 1770117095

Ccrm Northern Virginia, LLC is a Clinical Medical Laboratory in Vienna, Virginia. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8010 Towers Crescent Dr Fl 5
Vienna, VA 22182-2710
Phone: (571) 789-2100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X

Record details

NPI number1770117095
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matt Tyson — Director, Managed Care Contracting · (615) 477-6677
NPI enumeratedFebruary 25, 2020
Last updated in NPPESJuly 13, 2026
Certification dateJuly 13, 2026
Mailing address8010 Towers Crescent Dr Fl 5, Vienna, VA 22182-2710

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