Metropolitan Laboratory Services Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

METROPOLITAN LABORATORY SERVICES INC

Doing business as

MIRA Scientific

Practice address

12011 Lee Jackson Memorial Hwy Ste 200
Fairfax, VA 22033-3310

Phone

(866) 324-9804

NPI assigned

Oct 14, 2019

Organization subpart

No

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

Authorized official

Name

Christal Golston

Title

Ceo

Phone

(866) 324-9804

Specialties & licenses 1

Addresses

Other names 1

• MIRA Scientific Doing business as

Member of 1

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

• Mira Genetix

  • Clinical Medical Laboratory
  • Fairfax, VA
  • NPI 1912787144

  Member Of

  NPD member

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675728000000",
    "number": "1750923520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12011 LEE JACKSON MEMORIAL HWY STE 200",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220333310",
            "telephone_number": "866-324-9804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12011 LEE JACKSON MEMORIAL HWY STE 200",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220333310",
            "telephone_number": "866-324-9804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN LABORATORY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-14",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A",
        "authorized_official_last_name": "GOLSTON",
        "authorized_official_first_name": "CHRISTAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "866-324-9804"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIRA Scientific",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MIRA Scientific",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ante Marin Mesin
• Carla Lynn Messenger, PH. D.
• Kristen Messenger, LPC
• Metro Medical
• Metropolitan Healthcare Services
• Metropolitan Liver Diseases Gastroenterology Center
• Metropolitan Orthodontics
• Metropolitan Surgical Assist
• David W. Metzdorf Jr., DDS
• Shirley Metzger, LCSW

• Clinical Medical Laboratory in Fairfax, VA
• Providers in Fairfax, 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 Feb 7, 2023; 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.