DIAGENETICS OF FREDERICKSBURG (NPI# 1669496790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669496790 |
| Entity Type | Organization |
| Organization Name | DIAGENETICS OF FREDERICKSBURG |
| Other Organization Name | DIAGENETICS |
| Practice Address |
32315 Constitution Hwy Locust Grove VA 22508-2707 |
| Mailing Address |
Po Box 2510 Locust Grove VA 22508-8510 |
| Practice Telephone | 5408540120 |
| Practice Fax Number | 5408540126 |
| Mailing Telephone | 5408540120 |
| Mailing Fax Number | 5408540126 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DANIEL G STETKA (PRESIDENT/DIRECTOR) |
| Authorized Official Telephone | 5408540125 |
| Authorized Official Credential | PHD |
| 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 |
|---|---|---|---|
| DC | CARE FIRST BC/BS | 1700 | 01 |
| VA | ANTHEM BC/BS | 261261 | 01 |
| Other Name | Type Code |
|---|---|
| DiaGenetics | Other Name - Individual/Organization |
| Street Address |
32315 CONSTITUTION HWY |
| City | LOCUST GROVE |
| State | VA |
| Zip Code | 22508-2707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033647219 | Mancare Medical Transportation LLC | Psychologist | 108 Gold Valley Rd, Locust Grove, VA 22508 | 2017-05-31 |
| 1558705517 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 4122 Partnership Way, Locust Grove, VA 22508 | 2013-04-22 |
| 1932133568 | John M. Bush | Internal Medicine | 4376 Germanna Hwy, Locust Grove, VA 22508 | 2006-07-10 |
| 1760416309 | Herman G. Stubbe | Family Medicine | 4376 Germanna Hwy, Locust Grove, VA 22508 | 2006-07-10 |
| 1164486171 | Dawn Renee Alexander | Family Medicine | 4376 Germanna Hwy, Locust Grove, VA 22508-2008 | 2006-04-14 |
| 1295076388 | Andrea M Crawford | Physician Assistant | 4376 Germanna Hwy, Locust Grove, VA 22508-2008 | 2013-03-14 |
| 1497071260 | Adam H. Johnson | Pediatrics | 4376 Germanna Hwy, Locust Grove, VA 22508-2008 | 2010-04-19 |
| 1528179215 | Andrea M. Jackson | Obstetrics & Gynecology | 4376 Germanna Hwy, Locust Grove, VA 22508-2008 | 2006-08-31 |
| 1972553527 | Amy L. Hull | Physician Assistant | 4376 Germanna Hwy, Locust Grove, VA 22508-2008 | 2006-05-12 |
| 1497893507 | Betty S Gosnell | Counselor | 4448 Germanna Hwy Ste 7c, Locust Grove, VA 22508-2012 | 2007-02-01 |
| Find all providers in zip 22508 | ||||
| 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 |
|---|---|---|---|---|
| 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 | LOCUST GROVE |
| Zip Code | 22508 |
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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.