Organization Active NPI

Iym Services LLC

Doing business as Clinical Laboratory Center

  • Clinical Medical Laboratory
  • Sterling, VA
National Provider Identifier
1871821124
Registry record updated Mar 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
IYM SERVICES LLC
Doing business as
Clinical Laboratory Center
Practice address
46440 Benedict Dr
Suite 104
Sterling, VA 20164-6602
Phone
(571) 313-0542
Fax
(571) 313-0556
NPI assigned
Nov 25, 2009
Last updated
Mar 26, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
IYM SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 26, 2010

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

Authorized official

Name
Ibtihaj Awadelkariem, MT
Title
Owner
Phone
(571) 313-0542

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

46440 Benedict Dr
Suite 104
Sterling, VA 20164-6602

Mailing address

46440 Benedict Dr
Suite 104
Sterling, VA 20164-6602
Phone (571) 313-0542

Other names 1

  • Clinical Laboratory Center Doing business as

National Provider Directory

National Provider Directory
Part of
Iym Services LLC

Locations

46440 Benedict Dr
Ste 104
Sterling, VA 20164
Phone (571) 313-0542

NPI Registry JSON

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

{
    "created_epoch": "1259107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269561600000",
    "number": "1871821124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46440 BENEDICT DR",
            "address_2": "SUITE 104",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201646602",
            "telephone_number": "571-313-0542",
            "fax_number": "571-313-0556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46440 BENEDICT DR",
            "address_2": "SUITE 104",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201646602",
            "telephone_number": "571-313-0542",
            "fax_number": "571-313-0556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IYM SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IYM SERVICES, LLC",
        "enumeration_date": "2009-11-25",
        "last_updated": "2010-03-26",
        "status": "A",
        "authorized_official_last_name": "AWADELKARIEM",
        "authorized_official_first_name": "IBTIHAJ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-313-0542",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinical Laboratory Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 26, 2010; 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.