Active NPI
Sentara Reference Lab Solutions, LLC
- Clinical Medical Laboratory
- Norfolk, VA
National Provider Identifier
1811524572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- SENTARA REFERENCE LAB SOLUTIONS, LLC
- Practice address
- 600 Gresham Dr
Norfolk, VA 23507-1904 - Phone
- (757) 388-3741
- Fax
- (757) 388-2221
- NPI assigned
- Mar 24, 2020
- Last updated
- May 28, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melinda Summerlin Hancock
- Title
- Evp, Chief Financial Officer
- Phone
- (757) 455-7458
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | NU | Primary |
Addresses
Primary practice location
600 Gresham Dr
Norfolk, VA 23507-1904
Mailing address
6015 Poplar Hall Dr
Norfolk, VA 23502-3819
Phone (757) 455-7395
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200615001756 | VA | Part B Supplier - Independent Clinical Laboratory | 8628490935 | Practice locations: Norfolk, VA |
National Provider Directory
National Provider Directory- Tax ID family
- Sentara Norfolk General Hospital
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Sentara Norfolk General Hospital
- Clinical Medical Laboratory
- Norfolk, VA
- NPI 1396357901
Locations
500 Martha Jefferson Dr
Charlottesvle, VA 22911
Phone (434) 654-7000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585008000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1748390400000",
"number": "1811524572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6015 POPLAR HALL DR",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235023819",
"telephone_number": "757-455-7395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 GRESHAM DR",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235071904",
"telephone_number": "757-388-3741",
"fax_number": "757-388-2221"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SENTARA REFERENCE LAB SOLUTIONS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-24",
"last_updated": "2025-05-28",
"certification_date": "2025-05-28",
"status": "A",
"authorized_official_last_name": "HANCOCK",
"authorized_official_first_name": "MELINDA",
"authorized_official_middle_name": "SUMMERLIN",
"authorized_official_title_or_position": "EVP, CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "757-455-7458"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
- Sentara Medical Group (Sentara Long Term Care and Medical Associates)
- Sentara Medical Group (Fort Norfolk Diagnostic Center)
- Sentara Medical Group (Sentara Internal Medicine Physicians)
- Sentara Medical Group (Sentara Pulmonary & Critical Care Specialists)
- Sentara Reference Lab Solutions, LLC (Sentara Norfolk General Hospital)
- Sentara Therapy Solutions, LLC
- Serenity Angels Gathering Place, LLC
- Serenity Home Healthcare-Norfolk
- Serenity Living Homes LLC
- Serenity Living, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.