NPIMap

Organization Active NPI

Evms Academic Physicians and Surgeons Health Services Foundation

  • Clinical Medical Laboratory
  • Norfolk, VA
National Provider Identifier
1659385292
Registry record updated Aug 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
EVMS ACADEMIC PHYSICIANS AND SURGEONS HEALTH SERVICES FOUNDATION
Practice address
721 Fairfax Ave
Norfolk, VA 23507-2007
Phone
(757) 446-7363
Fax
(757) 624-2272
NPI assigned
Jul 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2014

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

Authorized official

Name
James F. Lind Jr.
Title
Ceo
Phone
(757) 451-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

721 Fairfax Ave
Norfolk, VA 23507-2007

Mailing address

PO Box 936
Norfolk, VA 23501-0936
Phone (757) 451-6200

Other names 1

  • EVMS Medical Group Doing business as

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
49D1091651Evms Dermatology- Andrews Hall721 Fairfax Avenue - Suite 200, Norfolk, VA 23507ComplianceMar 11, 2027
49D2180645Evms Student Health Clinic721 Fairfax Ave, Suite 274, Norfolk, VA 23507Provider-performed microscopyMar 17, 2028

National Provider Directory

National Provider Directory
Tax ID family
Academic Phys Surgeon7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

721 Fairfax Ave
Ste 200
Norfolk, VA 23507
Phone (757) 446-0593

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408579200000",
    "number": "1659385292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235010936",
            "telephone_number": "757-451-6200",
            "fax_number": "757-451-6251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 FAIRFAX AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235072007",
            "telephone_number": "757-446-7363",
            "fax_number": "757-624-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVMS ACADEMIC PHYSICIANS AND SURGEONS HEALTH SERVICES FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2014-08-21",
        "status": "A",
        "authorized_official_last_name": "LIND",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-451-6200",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EVMS Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; 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.