Tristar Medical Lab, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

TRISTAR MEDICAL LAB, INC

Practice address

8350C Terminal Rd
Lorton, VA 22079-1422

Phone

(703) 550-7800

Fax

(703) 550-7864

NPI assigned

Aug 1, 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

Safdar Chaudhry

Title

President

Phone

(703) 550-7800

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730195215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8350C TERMINAL RD",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220791422",
            "telephone_number": "703-550-7800",
            "fax_number": "703-550-7864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8350C TERMINAL RD",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220791422",
            "telephone_number": "703-550-7800",
            "fax_number": "703-550-7864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISTAR MEDICAL LAB, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHAUDHRY",
        "authorized_official_first_name": "SAFDAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-550-7800"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4981090",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Lorton, VA
• Providers in Lorton, 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.