NPIMap

Organization Active NPI

Lifelabs LLC

  • Phlebotomy Technician
  • Stafford, VA
National Provider Identifier
1659145449
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
Legal business name
LIFELABS LLC
Practice address
40 Saint Adams Dr
Stafford, VA 22556-3661
Phone
(202) 415-3723
NPI assigned
Nov 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Authorized official

Name
Musbau Enitan
Title
Operation Manager
Phone
(202) 415-3723

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 246RP1900X Primary

Addresses

Primary practice location

40 Saint Adams Dr
Stafford, VA 22556-3661

Mailing address

40 Saint Adams Dr
Stafford, VA 22556-3661
Phone (202) 415-3723

Other names 1

  • None Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699833600000",
    "number": "1659145449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 SAINT ADAMS DR",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225563661",
            "telephone_number": "202-415-3723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 SAINT ADAMS DR",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225563661",
            "telephone_number": "202-415-3723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-13",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-11",
        "status": "A",
        "authorized_official_last_name": "ENITAN",
        "authorized_official_first_name": "MUSBAU",
        "authorized_official_title_or_position": "OPERATION MANAGER",
        "authorized_official_telephone_number": "202-415-3723"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "None",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Stafford, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.