Active NPI
Iym Services LLC
Doing business as Clinical Laboratory Center
- Clinical Medical Laboratory
- Sterling, VA
National Provider Identifier
1871821124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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, 2010
- Organization subpart
- Yes
- Parent organization
- IYM SERVICES, LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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.