LIGHTMICRON DIAGNOSTICS, LLC (NPI# 1073621504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073621504 |
| Entity Type | Organization |
| Organization Name | LIGHTMICRON DIAGNOSTICS, LLC |
| Practice Address |
10347 Democracy Lane B Fairfax VA 22030 |
| Mailing Address |
Po Box 1447 Fairfax VA 22038-1447 |
| Practice Telephone | 7032815970 |
| Mailing Telephone | 7032815970 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2015-11-12 |
| Authorized Official Name | DOUG ARENDT (DIRECTOR) |
| Authorized Official Telephone | 7032815970 |
| Authorized Official Credential | DDS,MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 0401004979 | VA | Laboratories |
| Street Address |
10347 DEMOCRACY LANE B |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
| 1952940322 | Brightview Fair Oaks, LLC | Alzheimer Center (Dementia Center) | 12725 Lee Highway, Fairfax, VA 22030 | 2020-01-02 |
| 1245871524 | Tori Sprowl | Behavioral Analyst | 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 | 2019-10-08 |
| 1528612124 | Paul Sarigianis | Student in an Organized Health Care Education/Training Program | 10379b Democracy Lane, Fairfax, VA 22030 | 2019-07-31 |
| 1497221303 | Kahak, Inc. | Day Training, Developmentally Disabled Services | 10560 Main Street Suite Ps100, Fairfax, VA 22030 | 2018-10-17 |
| 1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
| 1205339538 | Rachael Lee Greene | Social Worker | 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 | 2018-03-13 |
| 1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
| 1275033607 | Philajo Global LLC | Non-emergency Medical Transport (VAN) | 4521 Billingham Street, Fairfax, VA 22030 | 2018-02-12 |
| 1376050401 | Alexander Harrison | Counselor | 4400 University Drive, Ms 2a2, Fairfax, VA 22030 | 2018-01-10 |
| Find all providers in zip 22030 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750923520 | Metropolitan Laboratory Services Inc | Clinical Medical Laboratory | 12011 Lee Jackson Memorial Hwy Ste 200, Fairfax, VA 22033-3310 | 2019-10-14 |
| 1952962482 | Accurate Medical Lab Inc | Clinical Medical Laboratory | 3927 Old Lee Hwy Ste 102d, Fairfax, VA 22030-2422 | 2019-06-25 |
| 1871962126 | Immediate Labs, LLC | Clinical Medical Laboratory | 9067 Loreleigh Way, Fairfax, VA 22031-2049 | 2015-09-16 |
| 1073857231 | Laboratory Corporation of America | Clinical Medical Laboratory | 3022 Williams Dr Ste 100, Fairfax, VA 22031-4600 | 2012-11-12 |
| 1205196656 | Advanced Preventive Diagnostics, Inc | Clinical Medical Laboratory | 10373 Democracy Ln, B, Fairfax, VA 22030-2586 | 2012-05-19 |
| 1609938232 | Genetics and Ivf Institute | Clinical Medical Laboratory | 3015 Williams Dr Ste 202, Givf Business Office, Fairfax, VA 22031-4623 | 2006-12-13 |
| 1265975437 | Laboratory Corporation of America | Clinical Medical Laboratory | 8503 Arlington Blvd, Suite 310 A, Fairfax, VA 22031-4628 | 2016-11-21 |
| 1518345735 | Quest Diagnostics Incorporated Md | Clinical Medical Laboratory | 8505 Arlington Blvd, Suite 140, Fairfax, VA 22031-4621 | 2015-05-07 |
| 1205238383 | Amerimmune LLC | Clinical Medical Laboratory | 11212 Waples Mill Rd, Suite 100, Fairfax, VA 22030-7404 | 2014-09-21 |
| 1528498896 | Quest Diagnostics Incorporated Md | Clinical Medical Laboratory | 8501 Arlington Blvd, Suite 340, Fairfax, VA 22031-4625 | 2013-11-22 |
| Find all providers in FAIRFAX | ||||
Please comment or provide details below to improve the information on LIGHTMICRON DIAGNOSTICS, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.