IndividualActive
Michael Long
NPI 1366372120 · Research Clinic/Center · Burke, VA
Provider details
- NPI number
- 1366372120
- Entity type
- Individual
- Primary specialty
- Research Clinic/CenterAmbulatory Health Care Facilities
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
9114 Blue Jug Lndg
Burke, VA 22015-2107
Phone: (703) 408-7570
Approximate (ZIP-level) locationGet directions
Mailing address
9114 Blue Jug Lndg
Burke, VA 22015-2107
Registry dates
- Enumerated
- 2026-05-21
- Last updated
- 2026-05-21
- Certified
- 2026-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.