Sentara Reference Lab Solutions, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

SENTARA REFERENCE LAB SOLUTIONS, LLC

Practice address

600 Gresham Dr
Norfolk, VA 23507-1904

Phone

(757) 388-3741

Fax

(757) 388-2221

NPI assigned

Aug 17, 2020

Organization subpart

No

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

Authorized official

Name

Robert A Broermann

Title

Cfo

Phone

(757) 455-7020

Specialties & licenses 1

Addresses

Other names 1

• Sentara Norfolk General Hospital 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

Tax ID family

Sentara Norfolk General Hospital2 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.

• Sentara Reference Lab Solutions, LLC

  • Clinical Medical Laboratory
  • Norfolk, VA
  • NPI 1811524572
  NPD tax ID

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699574400000",
    "number": "1396357901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6015 POPLAR HALL DR",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023819",
            "telephone_number": "757-455-7395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 GRESHAM DR",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071904",
            "telephone_number": "757-388-3741",
            "fax_number": "757-388-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENTARA REFERENCE LAB SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-17",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A",
        "authorized_official_last_name": "BROERMANN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "757-455-7020"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sentara Norfolk General Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sentara Medical Group
• Sentara Medical Group
• Sentara Medical Group
• Sentara Medical Group
• Sentara Medical Group
• Sentara Reference Lab Solutions, LLC
• Sentara Therapy Solutions, LLC
• Serenity Angels Gathering Place, LLC
• Serenity Home Healthcare-Norfolk
• Serenity Living Homes LLC

• 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 10, 2023; 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.