Organization Active NPI

Ams Virginia Lab LLC

  • Point of Service
  • Richmond, VA
National Provider Identifier
1609440817
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
Legal business name
AMS VIRGINIA LAB LLC
Practice address
919 E Main St Ste 1000
Richmond, VA 23219-4623
Phone
(866) 787-8219
NPI assigned
May 13, 2021
Last updated
May 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2021

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

Authorized official

Name
Mrs. Katherine McCommonNPI 1649982745
Title
Office Manager
Phone
(866) 787-8219

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
Point of Service 305S00000X NU Primary

Addresses

Primary practice location

919 E Main St Ste 1000
Richmond, VA 23219-4623

Mailing address

166 Hargraves Dr # C400-235
Austin, TX 78737-4796

Other identifiers 1

IdentifierTypeStateIssuer
49D2219684OtherVACLIA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL hippa.jotform.com

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
49D2219684Ams Virginia LLC919 E Main St Suite 1000, Richmond, VA 23219Certificate of waiverApr 6, 2027

National Provider Directory

National Provider Directory

Locations

166 Hargraves Dr
#C400235
Austin, TX 78737

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": "1620864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620864000000",
    "number": "1609440817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 HARGRAVES DR # C400-235",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787374796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 E MAIN ST STE 1000",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232194623",
            "telephone_number": "866-787-8219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMS VIRGINIA LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-13",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A",
        "authorized_official_last_name": "MCCOMMON",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "866-787-8219",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "49D2219684",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "hippa.jotform.com",
            "affiliation": "N",
            "address_1": "919 E Main St Ste 1000",
            "city": "Richmond",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232194623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 May 13, 2021; 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.