Micron Labs on Demand

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MICRON LABS ON DEMAND

Doing business as

Micron Labs On Demand

Practice address

8151 Bayberry CT
Manassas, VA 20110-4613

Phone

(157) 159-9422

NPI assigned

Dec 19, 2023

Organization subpart

No

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

Authorized official

Name

Dan Arinatwe

Title

Chief Executive Officer

Phone

(571) 599-4223

Specialties & licenses 1

Addresses

Other names 1

• Micron Labs On Demand Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

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

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731024000000",
    "number": "1013785963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8151 BAYBERRY CT",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104613",
            "telephone_number": "571-599-4223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8151 BAYBERRY CT",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104613",
            "telephone_number": "157-159-9422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICRON LABS ON DEMAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-19",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A",
        "authorized_official_last_name": "ARINATWE",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "571-599-4223"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Micron Labs On Demand",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Micron Labs On Demand",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Youmbi Marthe Meyeunou, PHARMD
• Mezher Health Care LLC (Options for Senior America)
• Michele Mezher
• Michael E Zapf DDS
• Joanna Elizabeth Michaelangelo, PA-C
• Jasdeep S Miglani, MD
• Zachariah Mihalovich, LAT, ATC
• Joseph Patrick Mikluscak Jr., D.C.
• Samira Milanizadeh, LPC
• Edward Milenski, RPH

• Clinical Medical Laboratory in Manassas, VA
• Providers in Manassas, VA by specialty
• Clinical Medical Laboratory in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.