RX Innovations, LLC, Dba Firstlab of Virginia

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

2005-108709-R Issued in VA

Legal business name

RX INNOVATIONS, LLC, DBA FIRSTLAB OF VIRGINIA

Practice address

1701 Will O Wisp Dr
Virginia Beach, VA 23454-3102

Phone

(757) 412-3273

Fax

(757) 412-6464

NPI assigned

Jun 1, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Arnold Fischer, MS MT(ASCP)

Title

Administrative Director

Phone

(757) 412-3273

Specialties & licenses 1

Addresses

Other identifiers 7

Locations

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952348757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 WILL O WISP DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543102",
            "telephone_number": "757-412-3273",
            "fax_number": "757-412-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 WILL O WISP DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543102",
            "telephone_number": "757-412-3273",
            "fax_number": "757-412-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RX INNOVATIONS, LLC, DBA FIRSTLAB OF VIRGINIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FISCHER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "ARNOLD",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "757-412-3273",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS MT(ASCP)"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "VA",
            "license": "2005-108709-R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017147150004",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0081027",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810001231",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "145016",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000038465",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100251695-00",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LB872VA",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Latonya Demetria Russell, MD, MPH
• Lori Ann Russell, LPTA
• Karen Harris Russo, RPH
• Anna Virginia Rutledge
• James Leonard Rutledge III, DDS
• Amanda Marie Ryan, FNP, DNP
• Ashley M Ryan, LCSW
• Jennifer J Ryan, COTA/L
• Nicole J Ryan
• Rycorp

• Clinical Medical Laboratory in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Clinical Medical Laboratory in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.