PRINCE WILLIAM HOSPITAL LABORATORY (NPI# 1528251352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528251352 |
| Entity Type | Organization |
| Organization Name | PRINCE WILLIAM HOSPITAL LABORATORY |
| Practice Address |
8700 Sudley Rd Manassas VA 20110 |
| Mailing Address |
2085 Frontis Plaza Blvd Winston Salem NC 27103 |
| Practice Telephone | 7033698000 |
| Practice Fax Number | 7033698032 |
| Mailing Telephone | 3362777226 |
| Mailing Fax Number | 3362779795 |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2013-06-05 |
| Authorized Official Name | FREDERICK MCDOWELL HARGETT JR. (EVP/CFO) |
| Authorized Official Telephone | 7043845184 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Street Address |
8700 SUDLEY RD |
| City | MANASSAS |
| State | VA |
| Zip Code | 20110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770588725 | Christopher R Heaton | Family Medicine | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2005-06-16 |
| 1740806629 | Lyndsey Atherton Lee | Nurse Practitioner | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2020-06-17 |
| 1033731591 | Marti Abarquez | Radiologic Technologist | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2020-05-07 |
| 1235764317 | Chelsea Mara Thompson | Registered Nurse | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2020-03-09 |
| 1346874997 | Lauren Nichole-evans Jeske | Nurse Practitioner | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2020-02-22 |
| 1689218620 | Martha Gordon | Registered Nurse | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2019-11-02 |
| 1528609203 | Sheridan Childrens Healthcare Services of Virginia Inc | Audiologist | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2019-10-03 |
| 1700440674 | Nmg Affiliate Practice I, LLC | Internal Medicine | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2019-04-26 |
| 1780248823 | Nmg Affiliate Practice I, LLC | Internal Medicine | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2019-04-24 |
| 1588122410 | Prince William Hospital | General Acute Care Hospital | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2019-03-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184246787 | Sini Eapen | Nurse Practitioner | 9380 Forestwood Lane, 9380 Unit B, Manassas, VA 20110 | 2020-05-18 |
| 1023662202 | United Health Home Care Agency | Registered Nurse | 8789 Commerce Ct#202, Manassas, VA 20110 | 2019-07-26 |
| 1750868097 | Elaine K. Sours, D.d.s., P.C. | Dentist | 8719 Plantation Lane, Manassas, VA 20110 | 2018-07-19 |
| 1962904573 | Donielle Francis | Specialist/Technologist | 10420 Monterosa Pl, Manassas, VA 20110 | 2018-02-28 |
| 1003332354 | Katrina Kask | Occupational Therapist | 6985 Centreville Rd., Manassas, VA 20110 | 2017-08-18 |
| 1477091478 | Mega Health Services, Inc | General Practice | 9602 Champion Ct, Manassas, VA 20110 | 2017-02-09 |
| 1811340599 | Malik Usman Dds, PC | Dentist | 8559 Sudley Road, Manassas, VA 20110 | 2016-07-19 |
| 1871944660 | Chitra Subbaraj | Physical Therapist | 8595 Centreville Rd, Manassas, VA 20110 | 2016-06-23 |
| 1093186512 | Daczkowski Orthodontics | Dentist | 8715 Stonewall Road, Manassas, VA 20110 | 2015-10-09 |
| 1851770366 | Candace Fleming | Counselor | 9242b Mosby St, Manassas, VA 20110 | 2015-05-29 |
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| 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 |
|---|---|---|---|---|
| 1649878364 | Iqgenetix LLC | Clinical Medical Laboratory | 11100 Endeavor Ct Ste 137, Manassas, VA 20109-4027 | 2020-10-14 |
| 1497875231 | Sleepcare Inc. | Clinical Medical Laboratory | 7513 Presidential Ln, Manassas, VA 20109-2628 | 2007-03-29 |
| 1285709220 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc. | Clinical Medical Laboratory | 10701 Rosemary Dr, Manassas, VA 20109-7282 | 2006-11-22 |
| 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 |
| 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 |
| 1447711163 | Solstas Lab Partners Group LLC | Clinical Medical Laboratory | 204 E Washington St Ste C, Lexington, VA 24450-2718 | 2019-03-26 |
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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.