VIRGINIA CANCER INSTITUTE INCORPORATED (NPI# 1851863815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851863815 |
| Entity Type | Organization |
| Organization Name | VIRGINIA CANCER INSTITUTE INCORPORATED |
| Other Organization Name | VCI HARBOURSIDE CT |
| Practice Address |
6130 Harbourside Centre Loop Suite 101 Midlothian VA 23112-2170 |
| Mailing Address |
7202 Glen Forest Dr Ste 200 Richmond VA 23226-3780 |
| Practice Telephone | 8043780394 |
| Practice Fax Number | 8047397649 |
| Mailing Telephone | 8043914171 |
| Mailing Fax Number | 8042006229 |
| Enumeration Date | 2018-12-31 |
| Last Update Date | 2019-09-16 |
| Authorized Official Name | PABLO M GONZALEZ (PRESIDENT/MANAGING PARTNER) |
| Authorized Official Telephone | 8043307990 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians | ||
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| Other Name | Type Code |
|---|---|
| VCI Harbourside CT | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801319587 | Virginia Cancer Institute Incorporated | Clinical Medical Laboratory | 6605 W Broad St Ste A, Richmond, VA 23230-1714 | 2017-07-25 |
| 1770936650 | Virginia Cancer Institute Incorporated | Pharmacy | 6605 W Broad St Ste A, Richmond, VA 23230-1714 | 2016-07-15 |
| 1922102664 | Virginia Cancer Institute Incorporated | Physiological Laboratory | 6605 W Broad St, Suite A, Richmond, VA 23230-1714 | 2006-09-12 |
| 1730130980 | Virginia Cancer Institute Incorporated | Radiology | 6605 W Broad St, Suite A, Richmond, VA 23230-1714 | 2006-05-12 |
| Street Address |
6130 HARBOURSIDE CENTRE LOOP SUITE 101 |
| City | MIDLOTHIAN |
| State | VA |
| Zip Code | 23112-2170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760445332 | Lawrence Michael Lewkow | Internal Medicine | 6130 Harbourside Centre Loop, Ste 101, Midlothian, VA 23112-2170 | 2006-04-06 |
| 1881719706 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 6130 Harbourside Centre Loop, Suite 101, Midlothian, VA 23112-0000 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982170080 | Shonmarra Ylexus Glover | Behavior Technician | 5950 Harbour Lane, Midlothian, VA 23112 | 2018-10-17 |
| 1841778917 | Brett Stires | Behavior Technician | 5950 Harbourt Park Dr, Midlothian, VA 23112 | 2018-08-01 |
| 1538655899 | Surbhi Chandna | Dentist | 5921 Harbour Ln Ste 500, Midlothian, VA 23112 | 2018-07-10 |
| 1184121584 | Katie Marie Kashmer | Behavioral Analyst | 5950 Barbour Park Lane, Midlothian, WA 23112 | 2018-04-11 |
| 1497259832 | Ruth Lynn Kitchens | Occupational Therapist | 13900 Hull Street Rd., Midlothian, VA 23112 | 2018-03-21 |
| 1487157301 | Susan Stoodt Price | Occupational Therapist | Chesterfield Technical Center Hull, 13900 Hull Street Rd., Midlothian, VA 23112 | 2018-03-16 |
| 1922500495 | Rayna Veney Piper | Speech-Language Pathologist | 13900 Hull Street Road, Midlothian, VA 23112 | 2018-03-01 |
| 1891202883 | Rochelle Wallace | Behavioral Analyst | 5950 Harbourt Park Dr., Midlothian, VA 23112 | 2017-12-29 |
| 1184138448 | Virginia Medical & Therapeutic Services | Counselor | 13540 E Boundary Rd, Midlothian, VA 23112 | 2017-11-24 |
| 1386169118 | Brandon Poen | Physical Therapist | 2820 Waterford Lake Dr., Unit 013, Midlothian, VA 23112 | 2017-08-14 |
| Find all providers in zip 23112 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841825593 | Novant Health Uva Health System Imaging Culpeper, LLC | Physiological Laboratory | 509 S Main St Ste 100, Culpeper, VA 22701-3155 | 2020-03-03 |
| 1619347408 | Notalvision Inc. | Physiological Laboratory | 7717 Coppermine Dr, Manassas, VA 20109-2506 | 2015-10-06 |
| 1558750877 | Encephalon Neurodiagnostics | Physiological Laboratory | 46715 Westover Ter, Sterling, VA 20165-7506 | 2015-01-12 |
| 1114263134 | Premier Diagnostics of Virginia | Physiological Laboratory | 430 Southlake Blvd Ste B11, North Chesterfield, VA 23236-3065 | 2012-12-19 |
| 1083880884 | Cougar Sleep Diagnostics, LLC | Physiological Laboratory | 130 Ellett Rd, Christiansburg, VA 24073-1510 | 2008-05-01 |
| 1063566883 | Irwin Kelman Cohen | Physiological Laboratory | 1400 Aqua Vista Ln, Richmond, VA 23231-8136 | 2007-01-22 |
| 1760576607 | Pulmonary Testing of Virginia, Inc | Physiological Laboratory | 4849 Brigadoon Dr, Virginia Beach, VA 23455-1912 | 2006-10-03 |
| 1295784718 | Dhc of Washington, L.L.C. | Physiological Laboratory | 7799 Leesburg Pike, Suite 104s, Falls Church, VA 22043-2408 | 2006-05-10 |
| 1225007420 | Insight Health Corp | Physiological Laboratory | 2786 S Arlington Mill Dr, Arlington, VA 22206-3402 | 2006-03-17 |
| 1427054170 | Sleep Disorders Institute Northeast, L.L.C. | Physiological Laboratory | 4080 Lafayette Center Dr, Unit 230, Chantilly, VA 20151-1218 | 2005-06-27 |
| Find all providers with the same taxonomy | ||||
| City | MIDLOTHIAN |
| Zip Code | 23112 |
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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.