Organization Active NPI

Prettystat Diagnostics LLC

  • Clinical Medical Laboratory
  • Richmond, VA
National Provider Identifier
1538747340
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PRETTYSTAT DIAGNOSTICS LLC
Practice address
1 W Cary St
Richmond, VA 23220-5609
Phone
(804) 250-6877
NPI assigned
Apr 1, 2021
Last updated
Apr 1, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Authorized official

Name
Tyesha BellNPI 1497343669
Title
Owner/ Lab Director
Phone
(919) 288-5012

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

1 W Cary St
Richmond, VA 23220-5609

Mailing address

1 W Cary St
Richmond, VA 23220-5609
Phone (804) 250-6877

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1617235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617235200000",
    "number": "1538747340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W CARY ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232205609",
            "telephone_number": "804-250-6877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W CARY ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232205609",
            "telephone_number": "804-250-6877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRETTYSTAT DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-01",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "TYESHA",
        "authorized_official_title_or_position": "OWNER/ LAB DIRECTOR",
        "authorized_official_telephone_number": "919-288-5012"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; 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.