BODE CELLMARK FORENSICS, INC. (NPI# 1790309961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790309961 |
| Entity Type | Organization |
| Organization Name | BODE CELLMARK FORENSICS, INC. |
| Practice Address |
10430 Furnace Rd Ste 107 Lorton VA 22079-2626 |
| Practice Telephone | 7036469740 |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2020-06-03 |
| Authorized Official Name | MICHAEL CARIOLA (PRESIDENT AND CEO) |
| Authorized Official Telephone | 7036469876 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | Managed Care Organizations |
| Other Name | Type Code |
|---|---|
| Bode Technology | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Bode Cellmark Forensics, Inc. | 10430 Furnace Road, Suite 107, Lorton, VA 22079 |
| Street Address |
10430 FURNACE RD STE 107 |
| City | LORTON |
| State | VA |
| Zip Code | 22079-2626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750992558 | Shannon O'connor | Occupational Therapist | 8350 Silverbrook Rd, Lorton, VA 22079 | 2020-08-14 |
| 1548746688 | Kevin Maurice Gleaton | Driver | 9209 Sheffield Hunt Court, Lorton, VA 22079 | 2018-07-12 |
| 1750714754 | Kenneth Ashton Freeman | Internal Medicine | 8915 Rhododendron Circle, Lorton, VA 22079 | 2013-08-13 |
| 1194068577 | Kraidy & Alkaffaf, LLC | Legal Medicine | 9025 Kiger Street, Lorton, VA 22079 | 2013-04-03 |
| 1720339559 | Jacqueline K Campbell | Nurse Practitioner | 8988 Lorton Market Street, # 100, Lorton, VA 22079 | 2012-09-19 |
| 1104176437 | Tiffany L Johnson | Occupational Therapy Assistant | 8828 Western Hemlock Way, Lorton, VA 22079 | 2012-09-13 |
| 1386908630 | William Hyong-sok Lee | Surgery | 8350-c Terminal Road, Newington, VA 22079 | 2012-07-02 |
| 1356668156 | Turn of A Newleaf,inc | Psychologist | 9693 Hagel Circle, Lorton, VA 22079 | 2010-05-03 |
| 1174848477 | Baseline Financial Management Group Corp | General Practice | 7217 Lockport Pl, Suite 102, Lorton, VA 22079 | 2010-03-30 |
| 1720211501 | Eugenia A. Walsh, Dds, PC | Dentist | 9010 Lorton Station Blvd., Suite 150, Lorton, VA 22079 | 2009-08-27 |
| Find all providers in zip 22079 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
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| 1205368388 | Visiting Angels | Point of Service | 2106-e Gallows Rd, Vienna, VA 22182 | 2017-03-29 |
| 1619425725 | Healthness | Point of Service | 20 Harrower Ct, Portsmouth, VA 23701-1525 | 2016-09-18 |
| 1346798998 | Wyvette Helpers for You | Point of Service | 1122 Stephens St, Martinsville, VA 24112-4100 | 2016-09-13 |
| 1689047771 | Shevon Valentine | Point of Service | 1807 Piney Woods Rd, Lawrenceville, VA 23868 | 2015-11-11 |
| 1366812224 | First Choice Counseling Services, LLC | Point of Service | 2025 E Main St Ste 104, Richmond, VA 23223-7072 | 2015-10-04 |
| 1447634910 | Health & Balance Chiropractic Clinic, LLC | Point of Service | 17 S Randolph St, A, Lexington, VA 24450-2526 | 2015-07-15 |
| 1356730550 | Heart2heart Companion LLC | Point of Service | 14824 Flour Mill Ct, Midlothian, VA 23112-4255 | 2015-01-12 |
| Find all providers with the same taxonomy | ||||
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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.