Sentara Medical Group

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

49D0229356 Issued in VA

Legal business name

SENTARA MEDICAL GROUP

Doing business as

NDC Diagnostic Center

Practice address

850 Kempsville Rd
Suite 100
Norfolk, VA 23502-3920

Phone

(757) 466-6274

NPI assigned

Apr 8, 2009

Last updated

Nov 28, 2011By 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

Mrs. Cindy A Taylor

Title

Manager

Phone

(757) 252-3344

Specialties & licenses 1

Addresses

Other names 1

• NDC Diagnostic Center Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1239148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322438400000",
    "number": "1346483203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 KEMPSVILLE RD",
            "address_2": "SUITE 100",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023920",
            "telephone_number": "757-466-6274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 KEMPSVILLE RD",
            "address_2": "SUITE 100",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023920",
            "telephone_number": "757-466-6274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENTARA MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-08",
        "last_updated": "2011-11-28",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "757-252-3344",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "VA",
            "license": "49D0229356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NDC Diagnostic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sentara Medical Group (Urology of Virginia)
• Sentara Medical Group (Group for Internal Medicine)
• Sentara Medical Group (Sentara Hand Surgery Specialists)
• Sentara Medical Group (Sentara Occupational Medicine)
• Sentara Medical Group (Sentara Orthopedic Trauma Specialists)
• Sentara Medical Group (Sentara Infectious Disease Specialists)
• Sentara Medical Group (Sentara Comprehensive Weight Loss Solutions)
• Sentara Medical Group (Sentara Rheumatology Specialists)
• Sentara Medical Group (Sentara Pulmonary Critical Care Specialists)
• Sentara Medical Group (Sentara Internal Medicine Physicians)

• Clinical Medical Laboratory in Norfolk, VA
• Providers in Norfolk, 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 Nov 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.