Active NPI
Virginia Commonwealth University Health System Authority
- Clinical Medical Laboratory
- Richmond, VA
National Provider Identifier
1831273531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 49D0226653
- Legal business name
- VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY
- Practice address
- 403 North 13TH Street Room 611
Richmond, VA 23298 - Phone
- (804) 828-6315
- Fax
- (804) 828-6872
- NPI assigned
- Oct 25, 2006
- 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
- Mrs. Beth Harlan
- Title
- Revenue Cycle Optimization Director
- Phone
- (804) 828-5009
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 49D0226653 | VA | Primary |
Addresses
Primary practice location
403 North 13TH Street Room 611
Richmond, VA 23298
Mailing address
PO Box 758997
Baltimore, MD 21275-0001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 49D0226653 | Other | VA | CMS - CLIA |
Other names 1
- VCU Health Medical Center Pathology
National Provider Directory
National Provider Directory- Tax ID family
- Medical College of VA
Other organizations with this tax ID 34
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Locations
403 N 13th St
Rm 611
Richmond, VA 23298
Phone (804) 828-6315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737936000000",
"number": "1831273531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 758997",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212750001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 NORTH 13TH STREET ROOM 611",
"city": "RICHMOND",
"state": "VA",
"postal_code": "23298",
"telephone_number": "804-828-6315",
"fax_number": "804-828-6872"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-25",
"last_updated": "2025-01-27",
"certification_date": "2025-01-27",
"status": "A",
"authorized_official_last_name": "HARLAN",
"authorized_official_first_name": "BETH",
"authorized_official_title_or_position": "REVENUE CYCLE OPTIMIZATION DIRECTOR",
"authorized_official_telephone_number": "804-828-5009",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "VA",
"license": "49D0226653",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CMS - CLIA",
"identifier": "49D0226653",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "VCU Health Medical Center Pathology",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Richmond, VA
- Virginia Commonwealth University Health System Authority
- Virginia Commonwealth University Health System Authority
- Virginia Commonwealth University Health System Authority
- Virginia Commonwealth University Health System Authority
- Virginia Commonwealth University Health System Authority
- Virginia Commonwealth University Health System Authority
- Virginia Commonwealth University Health System Authority
- Virginia Commonwealth University Health System Authority
- Virginia Commonwealth University Health System Authority
- Virginia Commonweatlh University Student Health Pharmacy
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.