NPIMap

Organization Active NPI

Inova Health Care Services

Doing business as Inova Laboratories

  • Clinical Medical Laboratory
  • Fairfax, VA
National Provider Identifier
1437596855
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
INOVA HEALTH CARE SERVICES
Doing business as
Inova Laboratories
Practice address
2832 Juniper St
Fairfax, VA 22031-4402
Phone
(703) 645-6134
NPI assigned
May 24, 2013
Last updated
Oct 31, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Authorized official

Name
Alice Pope
Title
Chief Financial Officer
Phone
(703) 289-2048

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

2832 Juniper St
Fairfax, VA 22031-4402

Mailing address

PO Box 37174
Baltimore, MD 21297-3174
Phone (703) 423-5699

Other names 1

  • Inova Laboratories Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150223000027 DC Part B Supplier - Independent Clinical Laboratory 2466351093 1 other NPI on this enrollment
Practice locations: Fairfax, VA; Falls Church, VA

Other NPIs with the same Medicare PAC ID 23

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 23

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
49D1098734Inova Healthcare Services Dba Inova Laboratories2832 Juniper Street, Fairfax, VA 22031AccreditationJun 15, 2028

National Provider Directory

National Provider Directory
Tax ID family
Fair Oak Hospital37 organizations share this tax ID, including this one

Other organizations with this tax ID 36

Organizations that report the same tax identification number in the National Provider Directory.

View all 36

Locations

10530 Rosehaven St
Ste 100
Fairfax, VA 22030
Phone (703) 938-0363

8988 Lorton Station Blvd
Ste 203
Lorton, VA 22079

14349 Gideon Dr
Fl 1
Woodbridge, VA 22192

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Inova Home Health LLCFairfax, VA, CCN 497008 Home health agency 5% Or Greater Indirect Ownership Interest (51%) Sep 5, 2018

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1369353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667174400000",
    "number": "1437596855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37174",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212973174",
            "telephone_number": "703-423-5699",
            "fax_number": "571-423-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2832 JUNIPER ST",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314402",
            "telephone_number": "703-645-6134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INOVA HEALTH CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-24",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A",
        "authorized_official_last_name": "POPE",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "703-289-2048"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inova Laboratories",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Inova Laboratories",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.