NPIMap

Organization Active NPI

Innovative Diagnostic Laboratory

  • Clinical Medical Laboratory
  • Richmond, VA
National Provider Identifier
1962846790
Registry record updated Oct 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
INNOVATIVE DIAGNOSTIC LABORATORY
Practice address
8751 Park Central Dr
Suite 200
Richmond, VA 23227-1157
Phone
(804) 986-3660
NPI assigned
Apr 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2015

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

Authorized official

Name
Joanna M Halsey
Title
General Counsel & Chief Compliance
Phone
(804) 261-3341

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X VA Primary

Addresses

Primary practice location

8751 Park Central Dr
Suite 200
Richmond, VA 23227-1157

Mailing address

8751 Park Central Dr
Suite 200
Richmond, VA 23227-1157
Phone (804) 986-3660

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1366675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445299200000",
    "number": "1962846790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8751 PARK CENTRAL DR",
            "address_2": "SUITE 200",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232271157",
            "telephone_number": "804-986-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8751 PARK CENTRAL DR",
            "address_2": "SUITE 200",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232271157",
            "telephone_number": "804-986-3660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE DIAGNOSTIC LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-23",
        "last_updated": "2015-10-20",
        "status": "A",
        "authorized_official_last_name": "HALSEY",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "GENERAL COUNSEL & CHIEF COMPLIANCE",
        "authorized_official_telephone_number": "804-261-3341"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; 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.