Bostwick Laboratories, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

BOSTWICK LABORATORIES, INC.

Practice address

4355 Innslake Dr
Glen Allen, VA 23060-6742

Phone

(804) 967-9225

Fax

(804) 239-1954

NPI assigned

Jul 8, 2006

Last updated

Mar 29, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Martin J Stefanelli

Title

Ceo

Phone

(516) 512-5200

Specialties & licenses 1

Addresses

Locations

Networks

• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…

Practitioners 2

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.

• David G Bostwick, MD MBA

  • Anatomic Pathology Physician
  • Orlando, FL
  • NPI 1467555987
  NPD (past)
• Richard K Cochran, MD FCAP

  • Anatomic Pathology & Clinical Pathology Physician
  • Tempe, AZ
  • NPI 1417050568
  NPD (past)

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364515200000",
    "number": "1124051644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 403751",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303843751",
            "telephone_number": "804-967-9225",
            "fax_number": "804-239-1954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4355 INNSLAKE DR",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230606742",
            "telephone_number": "804-967-9225",
            "fax_number": "804-239-1954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTWICK LABORATORIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2013-03-29",
        "status": "A",
        "authorized_official_last_name": "STEFANELLI",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "516-512-5200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Bonner
• Ashley Borunda, D.C.
• Jessica Boss
• Sarah Katherine Bosserman, PT
• Kristi Nicole Bostic
• Bostwick Laboratories, Inc.
• Leslie Dana Bottoms, LPC
• Sabrina Bouldin
• Boundless Potential LLC
• William H Bowen, DPT

• Clinical Medical Laboratory in Glen Allen, VA
• Providers in Glen Allen, 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 Mar 29, 2013; 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.