NPIMap

Organization Active NPI

Communitylaboratory

  • Clinical Medical Laboratory
  • Great Falls, VA
National Provider Identifier
1063781367
Registry record updated Dec 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
COMMUNITYLABORATORY
Practice address
11526 Seneca Woods CT
Great Falls, VA 22066-1375
Phone
(703) 348-7857
Fax
(703) 444-4308
NPI assigned
Dec 16, 2011
Last updated
Dec 16, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2011

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

Authorized official

Name
Pankaj MerchiaNPI 1770626178
Title
Manager
Phone
(617) 401-8929

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

11526 Seneca Woods CT
Great Falls, VA 22066-1375

Mailing address

PO Box 1048
Great Falls, VA 22066-9048
Phone (703) 348-7857

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1323993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323993600000",
    "number": "1063781367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1048",
            "city": "GREAT FALLS",
            "state": "VA",
            "postal_code": "220669048",
            "telephone_number": "703-348-7857",
            "fax_number": "703-444-4308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11526 SENECA WOODS CT",
            "city": "GREAT FALLS",
            "state": "VA",
            "postal_code": "220661375",
            "telephone_number": "703-348-7857",
            "fax_number": "703-444-4308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITYLABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-16",
        "last_updated": "2011-12-16",
        "status": "A",
        "authorized_official_last_name": "MERCHIA",
        "authorized_official_first_name": "PANKAJ",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "617-401-8929"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2011; 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.