BOSTWICK LABORATORIES, INC. (NPI# 1124051644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124051644 |
| Entity Type | Organization |
| Organization Name | BOSTWICK LABORATORIES, INC. |
| Practice Address |
4355 Innslake Dr Glen Allen VA 23060-6742 |
| Mailing Address |
Po Box 403751 Atlanta GA 30384-3751 |
| Practice Telephone | 8049679225 |
| Practice Fax Number | 8042391954 |
| Mailing Telephone | 8049679225 |
| Mailing Fax Number | 8042391954 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2013-03-29 |
| Authorized Official Name | MR. MARTIN J STEFANELLI (CEO) |
| Authorized Official Telephone | 5165125200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM BCBS OF VIRGINIA | 138056 | 01 |
| IN | 200375010A | 05 | |
| CO | 32287232 | 05 | |
| AZ | 440615 | 05 | |
| FL | 911980900 | 05 | |
| MS | 01837399 | 05 | |
| IA | 0578229 | 05 | |
| OH | 2420571 | 05 | |
| AR | 152979709 | 05 | |
| OH | UNISON HEALTH (OH MEDICAID HMO) | 000000265139 | 01 |
| TX | 164040101 | 05 | |
| OR | 275326 MCD | 05 | |
| ME | 419300000 | 05 | |
| PA | 1009021320002 | 05 | |
| LA | 1198722 | 05 | |
| WY | 120124700 | 05 | |
| WI | 32940800 | 05 | |
| WV | 6701112000 | 05 | |
| DC | MEDICAID (ACS) | 036874800 | 01 |
| NV | 100503849 | 05 | |
| OK | 200024720A | 05 | |
| KY | 37000718 | 05 | |
| DC | 036874800 | 05 | |
| AZ | MERCY CARE PLAN | 533631 | 01 |
| MO | 706132305 | 05 | |
| WA | 7123995 | 05 | |
| VA | 010062811 | 05 | |
| MT | 0421311 | 05 | |
| KS | 200262210A | 05 | |
| MD | 409261900 | 05 | |
| GA | 568644630A | 05 | |
| MN | 1124051644 | 05 | |
| MI | 164650710 | 05 | |
| SC | SC SELECT HEALTH/MEDICAID HMO | 20073351 | 01 |
| TN | 4582490 | 05 | |
| AL | 690000006 | 05 | |
| NC | 7001242 | 05 | |
| SC | L00184 | 05 | |
| RI | 1900009 | 05 | |
| ID | 8069026 | 05 | |
| NM | 82083339 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952465288 | Bostwick Laboratories, Inc. | Clinical Medical Laboratory | 4851 Lake Brook Dr, Glen Allen, VA 23060-9233 | 2006-12-21 |
| 1043453830 | Bostwick Laboratories, Inc. | Clinical Medical Laboratory | 7420 Remcon Cir, Suite J, El Paso, TX 79912-3508 | 2009-04-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | BOSTWICK LABORATORIES, INC. | 100 Charles Lindbergh Blvd, Uniondale, NY 11553 |
| Oregon Corporations, Companies and Business Names | BOSTWICK LABORATORIES, INC. | 100 Charles Lindbergh Boulevard, Uniondale, NY 11553 |
| Massachusetts Corporations | BOSTWICK LABORATORIES, INC. | 4355 Innslake Drive, Glen Allen, VA 23060 |
| Street Address |
4355 INNSLAKE DR |
| City | GLEN ALLEN |
| State | VA |
| Zip Code | 23060-6742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710294954 | Fatemeh Kalantarpour | Pathology | 4355 Innslake Dr, Glen Allen, VA 23060-6742 | 2010-09-09 |
| 1891998365 | David Jason Hull | Pathology | 4355 Innslake Dr, Glen Allen, VA 23060-6742 | 2007-06-11 |
| 1043303910 | Deloar Hossain | Pathology | 4355 Innslake Dr, Bostwick Laboratories, Glen Allen, VA 23060-6742 | 2006-10-02 |
| 1700989860 | Tita Cua Lamm | Pathology | 4355 Innslake Dr, Glen Allen, VA 23060-6742 | 2006-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205469715 | Romy Sharieff | Midwife | 10433 Mountain Glen Pkwy, Glen Allen, VA 23060 | 2020-02-13 |
| 1366934549 | Guillermo Del Campo | Optometrist | 4114 Innslake Drive, Glen Allen, VA 23060 | 2018-06-04 |
| 1871013771 | Wecare Medical Transportation Inc. | Driver | 10524 Boscastle Rd, Glen Allen, VA 23060 | 2017-06-21 |
| 1265889570 | Darchelle Braxton Dmd PC | Dentist | 4300 Pouncey Tract Road Suite I, Glen Allen, VA 23060 | 2016-05-17 |
| 1952714842 | Gaynier Orthodontics PC | Clinic/Center | 4701 Cox Rx Ste 285, C/o Ct Corporation, Glen Allen, VA 23060 | 2014-06-09 |
| 1538507819 | Rca Laboratory Services, LLC | Clinical Medical Laboratory | 4060 Innslake Dr, Glen Allen, VA 23060 | 2013-06-10 |
| 1922352772 | Samantha S Stone | Physical Therapist | 4101 Cox Rd Ste 100, Glen Allen, VA 23060 | 2012-11-01 |
| 1609123660 | Stephanie Rene Matsko | Optometrist | 4114 Innslake Dr., Glen Allen, VA 23060 | 2012-08-09 |
| 1851661367 | Lateaka Sheri Vinson | Speech-Language Pathologist | 2250 Old Brick Rd, Suite 2229, Glen Allen, VA 23060 | 2012-01-01 |
| 1568774271 | Cynthia A Koza | Optometrist | 4600 Cox Road, Suite 120, Glen Allen, VA 23060 | 2010-07-10 |
| Find all providers in zip 23060 | ||||
| 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 |
|---|---|---|---|---|
| 1538507819 | Rca Laboratory Services, LLC | Clinical Medical Laboratory | 4060 Innslake Dr, Glen Allen, VA 23060 | 2013-06-10 |
| 1952465288 | Bostwick Laboratories, Inc. | Clinical Medical Laboratory | 4851 Lake Brook Dr, Glen Allen, VA 23060-9233 | 2006-12-21 |
| 1053488536 | Omega Sleep Disorders and Diagnositic Center LLC | Clinical Medical Laboratory | 5225 Hickory Park Dr Ste A, Suite A, Glen Allen, VA 23059-2620 | 2006-11-29 |
| 1699181669 | Platinum Pathology, Pllc | Clinical Medical Laboratory | 10128 W Broad St, Suite H, Glen Allen, VA 23060-6761 | 2014-07-10 |
| 1932134913 | Virginia Physicians, Inc. | Clinical Medical Laboratory | 4900 Cox Rd, Ste 180, Glen Allen, VA 23060-6507 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588074 | Vital Healthcare, LLC | Clinical Medical Laboratory | 3825 Lamplighter Ct, Portsmouth, VA 23703-2271 | 2020-11-03 |
| 1942809934 | Labmd2, Inc | Clinical Medical Laboratory | 20804 Edds Ln, Potomac Falls, VA 20165-7904 | 2020-10-21 |
| 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 | ||||
| City | GLEN ALLEN |
| Zip Code | 23060 |
Please comment or provide details below to improve the information on BOSTWICK LABORATORIES, INC..
| 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.