COMMONWEALTH MEDICAL LABS INC.; NPI #1295773380
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Contact Information

COMMONWEALTH MEDICAL LABS INC.
4228 AIKEN DR
WARRENTON, VA20187-3931
 Phone: 540-428-2909
 Fax: 540-428-2905
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Medical Laboratory

291U00000X 69 Clinical Laboratory
Indicates primary specialty

NPI Profile & details for COMMONWEALTH MEDICAL LABS INC.

NPI Number 1295773380
LBN Legal business name COMMONWEALTH MEDICAL LABS INC.
Authorized official MICHAEL PRATT - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/02/2006
Last updated 12/14/2009 - About 14 years ago
Identifiers
VA License # 49D0661031
AL Medicaid 009801680
AR Medicaid 114211709
GA Medicaid 00366099A
IA Medicaid 0517383
ID Medicaid 805782200
IN Medicaid 100027530A
KY Medicaid 37901907
LA Medicaid 1537527
MO Medicaid 706118908
MS Medicaid 0122009
MT Medicaid 0000420359
NC Medicaid 7001088
OH Medicaid 0899167
TX Medicaid 0724056-02
VA Medicaid 004980832
Other 690008904 RAILROAD MEDICARE
AL Other 923-19860 BLUE CROSS BLUE SHIELD
VA Other 465710 ANTHEM BLUE CROSS BLUE SH
VA Other 35460 SOUTHERN HEALTH SVCS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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