Organization Active NPI

Virant Diagnostics, Inc

  • Clinical Medical Laboratory
  • Wheaton, MD
National Provider Identifier
1376160473
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
VIRANT DIAGNOSTICS, INC
Practice address
11002 Veirs Mill Rd
Suite 404
Wheaton, MD 20902
Phone
(877) 888-2973
Fax
(888) 713-3456
NPI assigned
Jul 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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

Authorized official

Name
Huamin Henry Li, MD, PHDNPI 1396733291
Title
Director
Phone
(877) 888-2973

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

11002 Veirs Mill Rd
Suite 404
Wheaton, MD 20902

Mailing address

10317 Kingsway CT
Ellicott City, MD 21042
Phone (443) 280-3208

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210121002827 DC Part B Supplier - Independent Clinical Laboratory 7012321615 Practice locations: Wheaton, MD

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2184276Virant Diagnostics Inc11002 Veirs Mill Rd Suite 404, Wheaton, MD 20902AccreditationSep 21, 2027

National Provider Directory

National Provider Directory

Locations

11002 Veirs Mill Rd
Ste 404
Wheaton, MD 20902
Phone (877) 888-2973

Practitioners & affiliated clinicians

Practitioners 3

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": "1593993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672185600000",
    "number": "1376160473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10317 KINGSWAY CT",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "21042",
            "telephone_number": "443-280-3208",
            "fax_number": "888-713-3456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11002 VEIRS MILL RD",
            "address_2": "SUITE 404",
            "city": "WHEATON",
            "state": "MD",
            "postal_code": "20902",
            "telephone_number": "877-888-2973",
            "fax_number": "888-713-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRANT DIAGNOSTICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-06",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-27",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "HUAMIN",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "877-888-2973",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.