Valley Medical Laboratory, LLC

Primary specialty

Medical Laboratory TechnicianTaxonomy code 246RM2200X

Legal business name

VALLEY MEDICAL LABORATORY, LLC

Practice address

2438 E 117TH St
Burnsville, MN 55337-1281

Phone

(612) 444-3000

Fax

(612) 444-9000

NPI assigned

Mar 27, 2020

Organization subpart

No

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

Authorized official

Name

Ashwin George, MDNPI 1518169713

Title

VP, Ceo

Phone

(612) 444-3000

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ashwin Vinod George, M.D

  • Internal Medicine Physician
  • Burnsville, MN
  • NPI 1518169713
  NPD Authorized official

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586736000000",
    "number": "1720616741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2428 E 117TH ST",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553371269",
            "telephone_number": "612-444-3000",
            "fax_number": "612-444-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2438 E 117TH ST",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553371281",
            "telephone_number": "612-444-3000",
            "fax_number": "612-444-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY MEDICAL LABORATORY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-27",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "ASHWIN",
        "authorized_official_title_or_position": "VP, CEO",
        "authorized_official_telephone_number": "612-444-3000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "246RM2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McCaleb Clinton Vagt, BEHAVIOR TECHNICIAN
• Connie Lynn Vait
• Debbie Jean Vait
• Felixia Valerius, M.A., LPCC
• Valley Behavioral Health
• Valley Pain Relief and Wellness Center, PLLC
• Valley Pain Relief and Wellness Center, PLLC
• Valley Pain Relief and Wellness Center, PLLC
• Valley Professional Anesthesia PLLC
• Sandra Van Campen, LPCC

• Medical Laboratory Technician in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Medical Laboratory Technician in Minnesota

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