INDY HEALTH LABS LLC


Address: 4521 Brambleton Ave Ste 205, Roanoke, VA 24018-3432
Phone: 5406822160

INDY HEALTH LABS LLC (NPI# 1114483484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114483484
Entity Type Organization
Organization Name INDY HEALTH LABS LLC
Practice Address 4521 Brambleton Ave Ste 205
Roanoke
VA 24018-3432
Practice Telephone 5406822160
Mailing Telephone 5406822160
Enumeration Date 2019-02-12
Last Update Date 2019-06-10
Authorized Official Name ROBERT LOVETTE PRESSLEY JR. (PRESIDENT)
Authorized Official Telephone 2567976436
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 247ZC0005X Pathology
Specialization: Clinical Laboratory Director, Non-physician
Technologists, Technicians & Other Technical Service Providers

Other Data Sources

Entity Type Entity Name Entity Address
Virginia Business Entities INDY HEALTH LABS LLC 3425 Westmoreland Dr, Roanoke, Virginia 24018

Office Location

Street Address 4521 BRAMBLETON AVE STE 205
City ROANOKE
State VA
Zip Code 24018-3432

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Taxonomy Information

Taxonomy Code 247ZC0005X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Pathology
Specialization Clinical Laboratory Director, Non-physician

Taxonomy Definition

An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.
Notes: Source: National Uniform Claim Committee [1/1/2007: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1053749754 Rowaida Bedewy Pathology 140 Parker Rd W, Suite # A, Danville, VA 24540-7425 2013-10-16
1306031299 Wendy Golden Pathology Lee Street Pathology, Charlottesville, VA 22908-0001 2007-09-13
1194167452 Eugene Schwilke Pathology 450 Southlake Blvd, North Chesterfield, VA 23236-3094 2013-07-26
1326367483 Tiffany K Roberts Pathology 317 Great Bridge Blvd, Suite B, Chesapeake, VA 23320-7008 2010-05-27
1619110475 Tricity Imaging & Diagnostics Pathology 603 S Sycamore St, Petersburg, VA 23803-5814 2009-04-09
1790925873 Bilal Group LLC Pathology 603 S Sycamore St, Petersburg, VA 23803-5814 2009-03-02

Competitor

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City ROANOKE
Zip Code 24018

Improve Information

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Dataset Information

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.

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