Active NPI
Commonwealth Medical Labs Inc.
- Clinical Medical Laboratory
- Warrenton, VA
National Provider Identifier
1295773380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 49D0661031
- Legal business name
- COMMONWEALTH MEDICAL LABS INC.
- Practice address
- 4228 Aiken Dr
Warrenton, VA 20187-3931 - Phone
- (540) 428-2909
- Fax
- (540) 428-2905
- NPI assigned
- Jun 2, 2006
- Last updated
- Dec 14, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael D Pratt
- Title
- President
- Phone
- (540) 428-2909
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 49D0661031 | VA | Primary |
Addresses
Primary practice location
4228 Aiken Dr
Warrenton, VA 20187-3931
Mailing address
4228 Aiken Dr
Warrenton, VA 20187-3931
Phone (540) 428-2909
Other identifiers 19
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1537527 | Medicaid | LA | |
| 0000420359 | Medicaid | MT | |
| 0122009 | Medicaid | MS | |
| 0724056-02 | Medicaid | TX | |
| 465710 | Other | VA | ANTHEM BLUE CROSS BLUE SH |
| 690008904 | Other | RAILROAD MEDICARE | |
| 805782200 | Medicaid | ID | |
| 004980832 | Medicaid | VA | |
| 37901907 | Medicaid | KY | |
| 35460 | Other | VA | SOUTHERN HEALTH SVCS |
| 00366099A | Medicaid | GA | |
| 009801680 | Medicaid | AL | |
| 0899167 | Medicaid | OH | |
| 114211709 | Medicaid | AR | |
| 7001088 | Medicaid | NC | |
| 923-19860 | Other | AL | BLUE CROSS BLUE SHIELD |
| 100027530A | Medicaid | IN | |
| 0517383 | Medicaid | IA | |
| 706118908 | Medicaid | MO |
National Provider Directory
National Provider DirectoryLocations
4228 Aiken Dr
Warrenton, VA 20187
Phone (540) 428-2909
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1260748800000",
"number": "1295773380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4228 AIKEN DR",
"city": "WARRENTON",
"state": "VA",
"postal_code": "201873931",
"telephone_number": "540-428-2909",
"fax_number": "540-428-2905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4228 AIKEN DR",
"city": "WARRENTON",
"state": "VA",
"postal_code": "201873931",
"telephone_number": "540-428-2909",
"fax_number": "540-428-2905"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMONWEALTH MEDICAL LABS INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-02",
"last_updated": "2009-12-14",
"status": "A",
"authorized_official_last_name": "PRATT",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "540-428-2909",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "VA",
"license": "49D0661031",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1537527",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000420359",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0122009",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0724056-02",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS BLUE SH",
"identifier": "465710",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "690008904",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "805782200",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004980832",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "37901907",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHERN HEALTH SVCS",
"identifier": "35460",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00366099A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009801680",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0899167",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114211709",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7001088",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "923-19860",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100027530A",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0517383",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "706118908",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Warrenton, VA
- Karen Cole, L.P.T.
- Mandy Colegrove, CRNP
- Catherine Baer Coleman, MS CCC-SLP
- Erica Danielle Coleman, FNP-BC
- Jean Coleman
- Commonwealth Obstetrics Gynecology PC
- Commonwealth of Virginia State Board of Health (Fauquier County Health Department)
- Compass Carelink Home Health
- Sherry Conlin, MS OTR/L
- Tracie Conner, CMT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.