Mcvh Independent Lab-Outreach

LBN: Virginia Commonwealth University Health System Authority
Mcvh Independent Lab-Outreach is an health care organization with primary practice located at 1250 E Marshall St , Richmond VA 23298-5051. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Virginia Commonwealth University Health System Authority can be contacted via phone (804) 828-6315, or through Puleo, Dominic J via phone (804) 828-1295.

Contact Information

Primary practice address
1250 E Marshall St Richmond VA 23298-5051
Phone: (804) 828-6315
Fax: (804) 828-6872
Website:
Map and Directions
Authorized official contact:
Name: Puleo, Dominic J
Phone: (804) 828-1295

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X Virginia

Profile Details

NPI number 1831273531
LBN Legal business name Virginia Commonwealth University Health System Authority
DBA Doing business as Mcvh Independent Lab-Outreach
Authorized official Puleo, Dominic J
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831273531 NPPES
Virginia MEDICAID 4990030

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