Organization Active NPI

Abingdon Covid Testig

Doing business as Abingdon Covid Testing

  • Clinical Medical Laboratory
  • Abingdon, VA
National Provider Identifier
1780349886
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
ABINGDON COVID TESTIG
Doing business as
Abingdon Covid Testing
Practice address
339 W Main St
Abingdon, VA 24210-2633
Phone
(410) 628-1148
NPI assigned
Nov 3, 2021
Last updated
Nov 3, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
THE TRAVEL SHOPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Authorized official

Name
Bonnie Webb
Title
Director
Phone
(276) 628-1148

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

339 W Main St
Abingdon, VA 24210-2633

Mailing address

339 W Main St
Abingdon, VA 24210-2633
Phone (410) 628-1148

Other identifiers 1

IdentifierTypeStateIssuer
49D2236718OtherVACLIA

Other names 1

  • Abingdon Covid Testing Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Abingdon Covid Testig2 organizations share this tax ID, including this one
Part of
Abingdon Covid Testig

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635897600000",
    "number": "1780349886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 W MAIN ST",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242102633",
            "telephone_number": "410-628-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 W MAIN ST",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242102633",
            "telephone_number": "410-628-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABINGDON COVID TESTIG",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE TRAVEL SHOP",
        "enumeration_date": "2021-11-03",
        "last_updated": "2021-11-03",
        "certification_date": "2021-10-15",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "276-628-1148"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "49D2236718",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abingdon Covid Testing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Abingdon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.