NPIMap

Organization Active NPI

Hina Qureshi LLC

Doing business as ProDia Laboratories

  • Anatomic Pathology & Clinical Pathology Physician
  • Charlottesville, VA
National Provider Identifier
1427064252
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
46078 Issued in MN
Legal business name
HINA QURESHI LLC
Doing business as
ProDia Laboratories
Practice address
2030 Avon CT Ste 5
Charlottesville, VA 22902-8735
Phone
(434) 409-4097
NPI assigned
Aug 1, 2006
Last updated
Sep 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Hina Shafique Qureshi, MDNPI 1568488286
Title
Director
Phone
(434) 284-2809

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZP0102X 46078 MN Primary

Addresses

Primary practice location

2030 Avon CT Ste 5
Charlottesville, VA 22902-8735

Mailing address

2030 Avon CT Ste 5
Charlottesville, VA 22902-8735
Phone (434) 284-2809

Other names 2

  • ProDia Laboratories Doing business as
  • Hina Qureshi LLC Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Charlottesville Other

National Provider Directory

National Provider Directory

Locations

2030 Avon Ct
Ste 5
Charlottesville, VA 22902
Phone (434) 284-2809

Practitioners & affiliated clinicians

Practitioners 2

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": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1427064252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 AVON CT STE 5",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229028735",
            "telephone_number": "434-284-2809",
            "fax_number": "888-249-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 AVON CT STE 5",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229028735",
            "telephone_number": "434-409-4097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HINA QURESHI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2023-09-06",
        "certification_date": "2021-03-01",
        "status": "A",
        "authorized_official_last_name": "QURESHI",
        "authorized_official_first_name": "HINA",
        "authorized_official_middle_name": "SHAFIQUE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "434-284-2809",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MN",
            "license": "46078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Charlottesville",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Charlottesville",
            "address_1": "2030 Avon Ct Ste 5",
            "city": "Charlottesville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "229028735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ProDia Laboratories",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hina Qureshi LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.