Active NPI
Piedmont Joint Venture Laboratory, Inc.
- Clinical Medical Laboratory
- Winchester, VA
National Provider Identifier
1730122573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- PIEDMONT JOINT VENTURE LABORATORY, INC.
- Practice address
- 333 W Cork St
Suite 215
Winchester, VA 22601-3870 - Phone
- (540) 536-5500
- Fax
- (540) 665-4162
- NPI assigned
- Jun 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan Dougherty
- Title
- President
- Phone
- (703) 222-2313
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
333 W Cork St
Suite 215
Winchester, VA 22601-3870
Mailing address
333 W Cork St
Suite 215
Winchester, VA 22601-3871
Phone (540) 536-5500
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 77885 | Other | VA | SENTARA PROVIDER NUMBER |
| 234867 | Other | VA | MAMSI PROVIDER NUMBER |
| 0037433000 | Medicaid | VT | |
| 383117 | Other | VA | ANTHEM PROVIDER NUMBER |
| E4981219 | Medicaid | VA |
Other names 1
- Piedmont Medical Laboratory
National Provider Directory
National Provider DirectoryMember of 7
Organizations this organization is a member of, according to the National Provider Directory.
-
- Clinical Medical Laboratory
- Austin, TX
- NPI 1194769497
Member Of
Locations
8701 Digges Rd
Ste B
Manassas, VA 20110
Phone (703) 257-1168
172 Linden Dr
Ste 105
Winchester, VA 22601
Phone (540) 545-8013
333 W Cork St
Unit 215
Winchester, VA 22601
Phone (540) 536-5500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1255564800000",
"number": "1730122573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 W CORK ST",
"address_2": "SUITE 215",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226013871",
"telephone_number": "540-536-5500",
"fax_number": "540-665-4162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 W CORK ST",
"address_2": "SUITE 215",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226013870",
"telephone_number": "540-536-5500",
"fax_number": "540-665-4162"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PIEDMONT JOINT VENTURE LABORATORY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-13",
"last_updated": "2009-10-15",
"status": "A",
"authorized_official_last_name": "DOUGHERTY",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "703-222-2313"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA PROVIDER NUMBER",
"identifier": "77885",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI PROVIDER NUMBER",
"identifier": "234867",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0037433000",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER NUMBER",
"identifier": "383117",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "E4981219",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Piedmont Medical Laboratory",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Winchester, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.