TIDEWATER DIAGNOSTIC CONSULTANTS, LLC (NPI# 1295253987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295253987 |
| Entity Type | Organization |
| Organization Name | TIDEWATER DIAGNOSTIC CONSULTANTS, LLC |
| Other Organization Name | TIDEWATER MOBILE PHLEBOTOMY SERVICE |
| Practice Address |
5215 Colley Ave Norfolk VA 23508-2166 |
| Mailing Address |
524 Normandy St Portsmouth VA 23701-4312 |
| Practice Telephone | 8773661133 |
| Practice Fax Number | 7572570309 |
| Mailing Telephone | 7575892673 |
| Mailing Fax Number | 7579667954 |
| Enumeration Date | 2017-09-01 |
| Last Update Date | 2017-09-01 |
| Authorized Official Name | CANDIDA DENISE SINGLETON (OWNER) |
| Authorized Official Telephone | 8773661133 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 49D2135077 | VA | Laboratories |
| Other Name | Type Code |
|---|---|
| Tidewater Mobile Phlebotomy Service | Doing Business As Name - Organization |
| Street Address |
5215 COLLEY AVE |
| City | NORFOLK |
| State | VA |
| Zip Code | 23508-2166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447487483 | Abigail Morgan | Social Worker | 5215 Colley Ave, Ste 114, Norfolk, VA 23508-2043 | 2009-06-17 |
| 1295377646 | Hands & Hearts LLC | Home Health | 5215 Colley Ave, Norfolk, VA 23508-2166 | 2019-10-16 |
| 1912463209 | Theresa Dale Cason | Registered Nurse | 5215 Colley Ave, Norfolk, VA 23508-2166 | 2019-02-12 |
| 1376011924 | Tammie Dorsett | Nurse's Aide | 5215 Colley Ave, Norfolk, VA 23508-2166 | 2018-11-12 |
| 1649762683 | Antonio Stith | Home Health Aide | 5215 Colley Ave, Norfolk, VA 23508-2166 | 2018-06-05 |
| 1326554973 | Caring Angels Homehealth LLC | Home Health | 5215 Colley Ave, Norfolk, VA 23508-2166 | 2017-12-19 |
| 1073049946 | Empowering Families LLC | Community/Behavioral Health | 5215 Colley Ave, 121, Norfolk, VA 23508-2166 | 2017-05-11 |
| 1457885659 | Promising Peace Home Health Care | Home Health | 5215 Colley Ave, Suite 127, Norfolk, VA 23508-2043 | 2017-04-13 |
| 1922549310 | Amor Home Health Agency LLC | Home Health | 5215 Colley Ave, Suite 136, Norfolk, VA 23508-2043 | 2017-03-17 |
| 1730639196 | Lenora Black | Counselor | 5215 Colley Ave, 117, Norfolk, VA 23508-2043 | 2016-10-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902429152 | Madison Mcnicholas | Student in an Organized Health Care Education/Training Program | 5115 Hamptom Blvd, Norfolk, VA 23508 | 2020-05-22 |
| 1689173353 | Paraclete Therapeutic Solutions LLC | Community/Behavioral Health | 5215 Colley Ave Ste 107, Norfolk, VA 23508 | 2018-02-07 |
| 1104369305 | Melissa Joy Day | Physical Therapist | 1015 W 47th St., Norfolk, VA 23508 | 2016-11-21 |
| 1629323787 | Tara Dodson Olsson | Physical Therapist | 1015 West 47th Street, Norfolk, VA 23508 | 2012-07-16 |
| 1760776181 | Amelia Cady Dumond Dail | Behavioral Analyst | 810 52nd St, Norfolk, VA 23508 | 2011-06-02 |
| 1568789824 | Alternative Therapeutic Home Care Inc | Health Maintenance Organization | 427 W 37th Street, Norfolk, VA 23508 | 2010-04-27 |
| 1730402421 | Benjamin Simon Mccarty | Dentist | 1170 Lexan Ave Ste 187, Norfolk, VA 23508 | 2010-03-09 |
| 1174754063 | Dominion Medical Supplies | Durable Medical Equipment & Medical Supplies | 4110 Granby St, Norfolk, VA 23508 | 2009-07-27 |
| 1992767297 | Catherine Jean Mcdonald | Nurse Practitioner | 1618 Pocahontas Drive, Medical Readiness Division, Comnavsurflant, Norfolk, VA 23508 | 2006-04-04 |
| 1265047351 | Taylor Clark | Physical Therapist | 1015 W 47th Street, Norfolk, VA 23508 | 2020-09-15 |
| Find all providers in zip 23508 | ||||
| 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 |
|---|---|---|---|---|
| 1427614551 | Fountain Point Laboratory LLC | Clinical Medical Laboratory | 3901 W Norfolk Ave Ste E, Norfolk, NE 68701-9211 | 2019-05-14 |
| 1164938841 | Accupoint Diagnostics | Clinical Medical Laboratory | 6161 Kempsville Cir Ste 202, Norfolk, VA 23502 | 2017-12-18 |
| 1598054710 | Eric Walter Johnson | Clinical Medical Laboratory | 203 Litchfield Road, Norfolk, CT 06058 | 2011-03-29 |
| 1760572291 | Tidewater Dermatopathology Service, Inc | Clinical Medical Laboratory | 601 Medical Tower, Norfolk, VA 23507 | 2006-10-13 |
| 1619937281 | Chesapeake Dermatopathology & Dermatology, P.C. | Clinical Medical Laboratory | 580 Mowbray Arch, Norfolk, VA 23507-2130 | 2006-03-27 |
| 1396357901 | Sentara Reference Lab Solutions, LLC | Clinical Medical Laboratory | 600 Gresham Dr, Norfolk, VA 23507-1904 | 2020-08-17 |
| 1811524572 | Sentara Reference Lab Solutions, LLC | Clinical Medical Laboratory | 600 Gresham Dr, Norfolk, VA 23507-1904 | 2020-03-24 |
| 1811492986 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 305 N 37th St, Norfolk, NE 68701 | 2018-03-29 |
| 1174988448 | Regional West Medical Center | Clinical Medical Laboratory | 305 N 37th St, Norfolk, NE 68701-3275 | 2015-12-30 |
| 1134421522 | Quest Diagnostics Massachusetts LLC | Clinical Medical Laboratory | 31 Pine St, 1st Floor, Rear, Norfolk, MA 02056-1642 | 2010-11-17 |
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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.