Venugopal R Ambekar

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

49D2293792 Issued in VA

Practice address

42775 Generation Dr
Ste 100
Asbhurn, VA 20147

Phone

(571) 380-9944

Fax

(571) 380-9934

NPI assigned

Apr 2, 2025

Last updated

Jul 15, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Labs Easy LLC

  dba Any Lab Test Now Ashburn / Chantilly

  • Clinical Medical Laboratory
  • Ashburn, VA
  • NPI 1760286462
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1743552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1013711860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 DALY DR STE 240",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201513725",
            "telephone_number": "571-380-9944",
            "fax_number": "571-380-9934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42775 GENERATION DR",
            "address_2": "STE 100",
            "city": "ASBHURN",
            "state": "VA",
            "postal_code": "20147",
            "telephone_number": "571-380-9944",
            "fax_number": "571-380-9934"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4500 Daly Dr Ste 240",
            "address_purpose": "LOCATION",
            "city": "Chantilly",
            "state": "VA",
            "postal_code": "201513725",
            "country_code": "US",
            "telephone_number": "571-380-9944",
            "fax_number": "571-380-9934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMBEKAR",
        "first_name": "VENUGOPAL",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-04-02",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "VA",
            "license": "49D2293792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.