ELISA/ACT BIOTECHNOLOGIES LLC (NPI# 1104868512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104868512 |
| Entity Type | Organization |
| Organization Name | ELISA/ACT BIOTECHNOLOGIES LLC |
| Practice Address |
14 Pidgeon Hill Dr Suite 300 Sterling VA 20165-6155 |
| Practice Telephone | 7037885101 |
| Practice Fax Number | 7034502981 |
| Mailing Telephone | 7037885101 |
| Mailing Fax Number | 7034502981 |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. RUSSELL MERRIT JAFFE (PRESIDENT/ CEO) |
| Authorized Official Telephone | 7037885111 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | VA | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 4995635 | 05 | |
| VA | BLUE CROSS BLUE SHIELD ID | 259195 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | ELISA/ACT Biotechnologies LLC | 109 Carpenter Dr Ste 100, Sterling, Virginia 20164 |
| Street Address |
14 PIDGEON HILL DR SUITE 300 |
| City | STERLING |
| State | VA |
| Zip Code | 20165-6155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982652269 | Anjali D Chandela | Dermatology | 14 Pidgeon Hill Dr, Suite 340, Sterling, VA 20165-6155 | 2006-05-05 |
| 1689045908 | Alvarez Dental Smile | Dentist | 14 Pidgeon Hill Dr, Suite 170, Sterling, VA 20165-6155 | 2015-10-13 |
| 1356625321 | Kristen M Erekson | Nurse Practitioner | 14 Pidgeon Hill Dr, Ste. 130, Sterling, VA 20165-6155 | 2011-10-07 |
| 1720095573 | Callahan Dental | Dentist | 14 Pidgeon Hill Dr, Suite 200, Sterling, VA 20165-6155 | 2006-08-02 |
| 1942217724 | Karen M Callahan | Dentist | 14 Pidgeon Hill Dr, Suite 200, Sterling, VA 20165-6155 | 2006-08-02 |
| 1922015882 | Paul W Callahan | Dentist | 14 Pidgeon Hill Dr, Suite 200, Sterling, VA 20165-6155 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578042073 | Potomac Speech, LLC | Clinic/Center | 20657 Shoal Place, Sterling, VA 20165 | 2018-08-07 |
| 1386138600 | Jennifer M Bennett | Specialist | 46691 Cavendish Sq, Sterling, VA 20165 | 2018-06-20 |
| 1689163271 | Horizon Healthcare Professionals, LLC | Registered Nurse | 6 Pidgeon Hill Dr Ste 309, Sterling, VA 20165 | 2018-05-09 |
| 1336668573 | Jennifer Beatriz Henriquez | Student in an Organized Health Care Education/Training Program | 88 Bickel Ct, Sterling, VA 20165 | 2017-09-19 |
| 1134648413 | Alannah Angels Care, LLC | Home Health | 47672 Comer Sq, Sterling, VA 20165 | 2017-09-18 |
| 1215472709 | Hiba Aljumaah | Non-emergency Medical Transport (VAN) | 20829 Miranda Falls Sq, Sterling, VA 20165 | 2016-12-20 |
| 1629465299 | The Key Center of Florida | Health Maintenance Organization | 21155 Whitfield Pl 206, Sterling, VA 20165 | 2015-04-22 |
| 1740679265 | Shahla Zamani | Pharmacist | 46380 Monocacy Square, Potomac Falls, VA 20165 | 2015-01-21 |
| 1598006785 | Jeanine Marie Burke | Physical Therapist | 2 Pidgeon Hill Dr Ste 350, Sterling, VA 20165 | 2013-03-13 |
| 1134464126 | Faisal Hasan | Specialist | 46770 Willowood Place, Potomac Falls, VA 20165 | 2012-12-03 |
| Find all providers in zip 20165 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881101475 | Clinical Diagnostic Laboratories, LLC | Clinical Medical Laboratory | 14 Pidgeon Hill Dr Ste 150, Sterling, VA 20165-6151 | 2018-01-04 |
| 1508385204 | Sterling Regional Medcenter | Clinical Medical Laboratory | 615 Fairhurst St, Sterling, CO 80751-4523 | 2017-09-13 |
| 1417317553 | Capital Diagnostic Laboratory LLC | Clinical Medical Laboratory | 46440 Benedict Dr, Suite 104, Sterling, VA 20164-6602 | 2016-03-02 |
| 1275991267 | Elisa/act Biotechnologies | Clinical Medical Laboratory | 109 Carpenter Dr, Suite 100, Sterling, VA 20164-7115 | 2016-02-04 |
| 1528465929 | Resourcepath LLC | Clinical Medical Laboratory | 45945 Trefoil Ln, Unit 175, Sterling, VA 20166-4343 | 2014-12-01 |
| 1245302009 | Mid-atlantic Pathology Services, Inc. | Clinical Medical Laboratory | 405 Glenn Dr, Suite 10-a, Sterling, VA 20164-7119 | 2006-11-15 |
| 1548349152 | Sterling Rock Falls Clinic, Ltd | Clinical Medical Laboratory | 101 E Miller Rd, Sterling, IL 61081-1252 | 2006-11-03 |
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|---|---|---|---|---|
| 1710588074 | Vital Healthcare, LLC | Clinical Medical Laboratory | 3825 Lamplighter Ct, Portsmouth, VA 23703-2271 | 2020-11-03 |
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| 1366040917 | Ikare Renal Solutions LLC | Clinical Medical Laboratory | 8534 Ashington Way, Williamsburg, VA 23188-6647 | 2020-10-15 |
| 1649878364 | Iqgenetix LLC | Clinical Medical Laboratory | 11100 Endeavor Ct Ste 137, Manassas, VA 20109-4027 | 2020-10-14 |
| 1437756525 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 109 Bridge St Ste 101, Danville, VA 24541-1222 | 2020-10-02 |
| 1205445491 | Fairfax Medical Lab LLC | Clinical Medical Laboratory | 4221 Walney Rd Ste 401a, Chantilly, VA 20151-2987 | 2020-07-24 |
| 1659900348 | Microgen Health, Inc | Clinical Medical Laboratory | 14225 Sullyfield Cir Ste E, Chantilly, VA 20151-1688 | 2020-04-03 |
| 1750923520 | Metropolitan Laboratory Services Inc | Clinical Medical Laboratory | 12011 Lee Jackson Memorial Hwy Ste 200, Fairfax, VA 22033-3310 | 2019-10-14 |
| 1346881067 | Zenith Diagnostics, Inc. | Clinical Medical Laboratory | 13042 Rivers Bend Road, Chester, VA 23836-2383 | 2019-10-03 |
| 1952962482 | Accurate Medical Lab Inc | Clinical Medical Laboratory | 3927 Old Lee Hwy Ste 102d, Fairfax, VA 22030-2422 | 2019-06-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.