Alfa Medical Laboratory LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ALFA MEDICAL LABORATORY LLC

Practice address

6323 Georgia Ave NW Ste 102
Washington, DC 20011-1137

Phone

(202) 450-5981

NPI assigned

Dec 14, 2019

Organization subpart

No

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

Authorized official

Name

Haimanot HaileNPI 1659669067

Title

MBR

Phone

(202) 450-5981

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PRECISION CLINICAL LABORATORY LLC Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Haimanot Haile

  • Hospitalist Physician
  • Washington, DC
  • NPI 1659669067
  NPD (past) Authorized official

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

{
    "created_epoch": "1576281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714608000000",
    "number": "1457999039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6323 GEORGIA AVE NW STE 102",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200111137",
            "telephone_number": "202-450-5981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6323 GEORGIA AVE NW STE 102",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200111137",
            "telephone_number": "202-450-5981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALFA MEDICAL LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-14",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A",
        "authorized_official_last_name": "HAILE",
        "authorized_official_first_name": "HAIMANOT",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "202-450-5981"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "074805964",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRECISION CLINICAL LABORATORY LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Wendi Alexander
• Anne-Marie Rosie Alexandre
• Ayanna Alexandre, M.A., ED.S.
• Bogdan Florin Alexandrescu, M.D.
• Alexis Moreno Consulting LLC
• Tariq Bader Alfahad, BM, BCH
• Mary Alice Alfano, MD
• Shaden Alfaqih, DDS
• Blanca Iris Alfaro Juarez
• Candida Alfaro

• Clinical Medical Laboratory in Washington, DC
• Providers in Washington, DC by specialty
• Clinical Medical Laboratory in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.