Emergency Physicians Immediate Care Center 1 PLLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

EMERGENCY PHYSICIANS IMMEDIATE CARE CENTER 1 PLLC

Doing business as

BetterMed Clinical Laboratory,

Practice address

12214 W Broad St Ste B
Henrico, VA 23233-1062

Phone

(804) 362-8345

Fax

(855) 224-1594

NPI assigned

Mar 4, 2021

Last updated

Jul 26, 2021By 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

Tina Jeannette Lester

Title

Billing Director

Phone

(804) 437-0255

Specialties & licenses 1

Addresses

Other names 1

• BetterMed Clinical Laboratory, Doing business as

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627257600000",
    "number": "1396330064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12214 W BROAD ST STE B",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232331062",
            "telephone_number": "804-362-8345",
            "fax_number": "855-224-1594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12214 W BROAD ST STE B",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232331062",
            "telephone_number": "804-362-8345",
            "fax_number": "855-224-1594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGENCY PHYSICIANS IMMEDIATE CARE CENTER 1 PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A",
        "authorized_official_last_name": "LESTER",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "JEANNETTE",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "804-437-0255"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BetterMed Clinical Laboratory,",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in Henrico, VA
• Providers in Henrico, 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 Jul 26, 2021; 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.