Nova DC LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

NOVA DC LLC

Practice address

2132 Wisconsin Ave NW
Washington, DC 20007-2231

Phone

(833) 472-7438

NPI assigned

Mar 7, 2022

Organization subpart

No

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

Authorized official

Name

Gabriel Poblete

Title

Authorized Official

Phone

(833) 472-7438

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1646611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647043200000",
    "number": "1063169308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2132 WISCONSIN AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200072231",
            "telephone_number": "833-472-7438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2132 WISCONSIN AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200072231",
            "telephone_number": "833-472-7438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA DC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-07",
        "last_updated": "2022-03-12",
        "certification_date": "2022-03-12",
        "status": "A",
        "authorized_official_last_name": "POBLETE",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "833-472-7438"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Nouri
• Pouneh Nouri, MD
• Noushin Noursalehi, DMD
• Ingrid M Noussi
• Simmone Ngounou Nouwezem
• Nova Pendulum Productions (Ann Duvall)
• Juliana Marie Novais
• Christopher M Novak, M.D.
• Elizabeth Jane Novak, CCC-SLP
• Jennifer Novak, MS, LMFT, LPC

• Clinical Medical Laboratory in Washington, DC
• Providers in Washington, DC by specialty
• Clinical Medical Laboratory in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2022; 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.