Organization Active NPI

Piedmont Joint Venture Laboratory, Inc.

  • Clinical Medical Laboratory
  • Winchester, VA
National Provider Identifier
1730122573
Registry record updated Oct 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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

Updated by the provider on Oct 15, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
77885OtherVASENTARA PROVIDER NUMBER
234867OtherVAMAMSI PROVIDER NUMBER
0037433000MedicaidVT
383117OtherVAANTHEM PROVIDER NUMBER
E4981219MedicaidVA

Other names 1

  • Piedmont Medical Laboratory Doing business as

National Provider Directory

National Provider Directory

Member of 7

Organizations this organization is a member of, according to the National Provider Directory.

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.

Verify at the official NPI Registry.