NPIMap

Organization Active NPI

Elisa/Act Biotechnologies

  • Clinical Medical Laboratory
  • Sterling, VA
National Provider Identifier
1275991267
Registry record updated Feb 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
ELISA/ACT BIOTECHNOLOGIES
Practice address
109 Carpenter Dr
Suite 100
Sterling, VA 20164-7115
Phone
(703) 450-2980
NPI assigned
Feb 4, 2016
Last updated
Feb 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2016

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

Authorized official

Name
Dr. Russell Jaffe, MD
Title
Lab Director
Phone
(703) 450-2980

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

109 Carpenter Dr
Suite 100
Sterling, VA 20164-7115

Mailing address

109 Carpenter Dr
Suite 100
Sterling, VA 20164-7115

National Provider Directory

National Provider Directory
Tax ID family
Elisaact Biotechnologies2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

109 Carpenter Dr
Ste 100
Sterling, VA 20164
Phone (703) 450-2980

NPI Registry JSON

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

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454544000000",
    "number": "1275991267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 CARPENTER DR",
            "address_2": "SUITE 100",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201647115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 CARPENTER DR",
            "address_2": "SUITE 100",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201647115",
            "telephone_number": "703-450-2980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELISA/ACT BIOTECHNOLOGIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-04",
        "last_updated": "2016-02-04",
        "status": "A",
        "authorized_official_last_name": "JAFFE",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "LAB DIRECTOR",
        "authorized_official_telephone_number": "703-450-2980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; 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.