William Maddox

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

49D2075691 Issued in VA

Practice address

13 W Main St Ste 100
Christiansburg, VA 24073-3055

Phone

(540) 382-1230

NPI assigned

Jun 19, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1477397180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 REHOBOTH LN NE",
            "city": "FLOYD",
            "state": "VA",
            "postal_code": "240911130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 W MAIN ST STE 100",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240733055",
            "telephone_number": "540-382-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDOX",
        "first_name": "WILLIAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "VA",
            "license": "49D2075691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Card Lowe, LPN
• Sarah Cauthorne Lowen, D.O.
• Robert Gene Lucas, P.A.
• Stephanie Dawn Lytle, PHARMD
• Bertha Maclin, FNP-BC
• Jonathan R Maher, M.D.
• Kristin Mahood, D.O.
• Becky C Mann, O.D.
• Clare Ellen Mann, LMT
• William Joseph Mann, OD

• Clinical Medical Laboratory in Christiansburg, VA
• Providers in Christiansburg, 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 Jun 19, 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.