Diagenetics of Fredericksburg

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

DIAGENETICS OF FREDERICKSBURG

Practice address

32315 Constitution Hwy
Locust Grove, VA 22508-2707

Phone

(540) 854-0120

Fax

(540) 854-0126

NPI assigned

Jul 26, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Daniel G Stetka, PHD

Title

President/Director

Phone

(540) 854-0125

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• DiaGenetics Other name

Locations

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669496790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2510",
            "city": "LOCUST GROVE",
            "state": "VA",
            "postal_code": "225088510",
            "telephone_number": "540-854-0120",
            "fax_number": "540-854-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32315 CONSTITUTION HWY",
            "city": "LOCUST GROVE",
            "state": "VA",
            "postal_code": "225082707",
            "telephone_number": "540-854-0120",
            "fax_number": "540-854-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGENETICS OF FREDERICKSBURG",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STETKA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT/DIRECTOR",
        "authorized_official_telephone_number": "540-854-0125",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE FIRST BC/BS",
            "identifier": "1700",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "261261",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DiaGenetics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Karen Cruess
• Craig H Cuddy
• Eillen Dankwaah, PHARMD
• Hannah Marie Dean, PMHNP-BC
• Hollie Nixons Deane
• Abbigail Eckert
• Bethanne Hill Elbert, MD
• Mary Eller, FNP
• Empower Behavioral Services, LLC
• Brittany Field, LPN

• Clinical Medical Laboratory in Locust Grove, VA
• Providers in Locust Grove, VA by specialty
• Clinical Medical Laboratory in Virginia

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.