Mega Lab-Health Care SVC, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MEGA LAB-HEALTH CARE SVC, LLC

Practice address

2296 Opitz Blvd Ste 260
Woodbridge, VA 22191-3352

Phone

(571) 278-4271

Fax

(703) 986-3139

NPI assigned

Mar 8, 2021

Last updated

Apr 18, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Olatunji

Title

Chief Executive

Phone

(571) 278-4271

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Grigor Khachikian, MD

  • Obstetrics & Gynecology Physician
  • Woodbridge, VA
  • NPI 1013939040
  NPD (past)

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681776000000",
    "number": "1952996266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OPITZ BLVD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913304",
            "telephone_number": "571-278-4271",
            "fax_number": "703-986-3139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2296 OPITZ BLVD STE 260",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913352",
            "telephone_number": "571-278-4271",
            "fax_number": "703-986-3139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEGA LAB-HEALTH CARE SVC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-08",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A",
        "authorized_official_last_name": "OLATUNJI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE",
        "authorized_official_telephone_number": "571-278-4271"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Woodridge",
            "affiliation": "N",
            "endpointDescription": "Clinic",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Woodbridge",
            "address_1": "1950 Opitz Blvd",
            "city": "Woodbridge",
            "state": "VA",
            "country_code": "US",
            "postal_code": "221913304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Medstar Medical Group II LLC
• Medstar Medical Group II LLC
• Medstar Medical Group II LLC
• Medvida Home Care Services
• Lindsey Mae Meersman
• Mega Protect Services LLC (Mega Lab Services)
• Mehdi Bajoghli, M.D., P.C.
• Rodaba Ahmadi Meherzad
• Libby Mehren
• Anoli Mehta

• Clinical Medical Laboratory in Woodbridge, VA
• Providers in Woodbridge, 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 Apr 18, 2023; 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.