Organization Active NPI

Pulmonary Testing of Virginia, Inc

  • Clinical Medical Laboratory
  • Virginia Beach, VA
National Provider Identifier
1760576607
Registry record updated Jun 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
49D0889263 Issued in VA
Legal business name
PULMONARY TESTING OF VIRGINIA, INC
Practice address
4849 Brigadoon Dr
Virginia Beach, VA 23455-1912
Phone
(757) 285-4157
Fax
(757) 464-0941
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2012

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

Authorized official

Name
Thomas P Brown, RPFT
Title
President
Phone
(757) 285-4157

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 49D0889263 VA Primary
Physiological Laboratory 293D00000X VA

Addresses

Primary practice location

4849 Brigadoon Dr
Virginia Beach, VA 23455-1912

Mailing address

4849 Brigadoon Dr
Virginia Beach, VA 23455-1912
Phone (757) 285-4157

Other identifiers 1

IdentifierTypeStateIssuer
004996968MedicaidVA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340841600000",
    "number": "1760576607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4849 BRIGADOON DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234551912",
            "telephone_number": "757-285-4157",
            "fax_number": "757-464-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4849 BRIGADOON DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234551912",
            "telephone_number": "757-285-4157",
            "fax_number": "757-464-0941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY TESTING OF VIRGINIA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2012-06-28",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-285-4157",
        "authorized_official_credential": "RPFT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "VA",
            "license": "49D0889263",
            "primary": true
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "VA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004996968",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2012; 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.