Organization Active NPI

Inova Blood Donor Services

  • Medical Technologist
  • Sterling, VA
National Provider Identifier
1780195636
Registry record updated Oct 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical TechnologistTaxonomy code 246QM0706X
Legal business name
INOVA BLOOD DONOR SERVICES
Practice address
45745 Nokes Blvd
Sterling, VA 20166-2491
Phone
(571) 434-3623
NPI assigned
Oct 18, 2017
Last updated
Oct 18, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
INOVA HEALTH SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 18, 2017

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

Authorized official

Name
Nicholas Lilly
Title
Compliance and Reg Affairs MGR
Phone
(571) 220-1736

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Technologist 246QM0706X Primary

Addresses

Primary practice location

45745 Nokes Blvd
Sterling, VA 20166-2491

Mailing address

45745 Nokes Blvd
Sterling, VA 20166-2491

National Provider Directory

National Provider Directory
Part of
Inova Blood Donor Services

Locations

45745 Nokes Blvd
Sterling, VA 20166
Phone (571) 434-3623

NPI Registry JSON

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508284800000",
    "number": "1780195636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45745 NOKES BLVD",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201662491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45745 NOKES BLVD",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201662491",
            "telephone_number": "571-434-3623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INOVA BLOOD DONOR SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INOVA HEALTH SYSTEM",
        "enumeration_date": "2017-10-18",
        "last_updated": "2017-10-18",
        "status": "A",
        "authorized_official_last_name": "LILLY",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "COMPLIANCE AND REG AFFAIRS MGR",
        "authorized_official_telephone_number": "571-220-1736"
    },
    "taxonomies": [
        {
            "code": "246QM0706X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Medical Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2017; 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.