Organization Active NPI

Sample Safe Labs

  • Clinical Medical Laboratory
  • Mechanicsville, VA
National Provider Identifier
1790646933
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
SAMPLE SAFE LABS
Practice address
8096 Elm Dr Ste 200D
Mechanicsville, VA 23111-1159
Phone
(800) 699-3060
NPI assigned
Nov 18, 2025
Last updated
Nov 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Authorized official

Name
Angela Wynn
Title
Owner
Phone
(800) 699-3060

Specialties & licenses 1

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

Addresses

Primary practice location

8096 Elm Dr Ste 200D
Mechanicsville, VA 23111-1159

Mailing address

8096 Elm Dr Ste 200D
Mechanicsville, VA 23111-1159
Phone (800) 699-3060

National Provider Directory

National Provider Directory

Locations

8096 Elm Dr
Ste 200D
Mechanicsville, VA 23111
Phone (800) 699-3060

NPI Registry JSON

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

{
    "created_epoch": "1763424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1790646933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8096 ELM DR STE 200D",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231111159",
            "telephone_number": "800-699-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8096 ELM DR STE 200D",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231111159",
            "telephone_number": "800-699-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMPLE SAFE LABS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-18",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A",
        "authorized_official_last_name": "WYNN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "800-699-3060"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; 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.