Organization Active NPI

Virginia Ivf & Andrology Center

  • Clinical Medical Laboratory
  • Richmond, VA
National Provider Identifier
1598748139
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
VIRGINIA IVF & ANDROLOGY CENTER
Practice address
9030 Stony Point Pkwy
Suite 390
Richmond, VA 23235-1957
Phone
(804) 323-9980
Fax
(804) 323-9979
NPI assigned
Nov 29, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Dennis W Matt, PHD, HCLD
Title
Scientific Director
Phone
(804) 323-9980

Specialties & licenses 1

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

Addresses

Primary practice location

9030 Stony Point Pkwy
Suite 390
Richmond, VA 23235-1957

Mailing address

9030 Stony Point Pkwy
Suite 390
Richmond, VA 23235-1957
Phone (804) 323-9980

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
49D2335406Shady Grove Andrology Center, LLC - Richmond9030 Stony Point Parkway, Suite 390, Richmond, VA 23235Certificate of waiverDec 9, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598748139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9030 STONY POINT PKWY",
            "address_2": "SUITE 390",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232351957",
            "telephone_number": "804-323-9980",
            "fax_number": "804-323-9979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9030 STONY POINT PKWY",
            "address_2": "SUITE 390",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232351957",
            "telephone_number": "804-323-9980",
            "fax_number": "804-323-9979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA IVF & ANDROLOGY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MATT",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "SCIENTIFIC DIRECTOR",
        "authorized_official_telephone_number": "804-323-9980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, HCLD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "VA",
            "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.