PROSYNTHESIS LABORATORIES, INC. (NPI# 1205215597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205215597 |
| Entity Type | Organization |
| Organization Name | PROSYNTHESIS LABORATORIES, INC. |
| Other Organization Name | UNJURY PROTEIN |
| Practice Address |
45975 Nokes Blvd Ste 170 Sterling VA 20166-6554 |
| Practice Telephone | 7034302221 |
| Practice Fax Number | 7034308886 |
| Mailing Telephone | 7034302221 |
| Mailing Fax Number | 7034308886 |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2015-05-20 |
| Authorized Official Name | JEROME KRACHENFELS (OWNER) |
| Authorized Official Telephone | 7036251000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers |
| Other Name | Type Code |
|---|---|
| Unjury Protein | Doing Business As Name - Organization |
| Street Address |
45975 NOKES BLVD STE 170 |
| City | STERLING |
| State | VA |
| Zip Code | 20166-6554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881187458 | Vincent Seng | Behavior Technician | 4040 Center Oak Plaza, Suite 150, Sterling, VA 20166 | 2018-06-08 |
| 1205339348 | Morgan Elyse Gillum | Occupational Therapist | 45305 Catalina Ct Ste 101, Sterling, VA 20166 | 2018-03-15 |
| 1376090548 | Chelsea Moore | Behavioral Analyst | 46040 Center Oak Plz Ste 150, Sterling, VA 20166 | 2016-09-06 |
| 1194175711 | Krisha Verma | Dentist | 21631 Ridgetop Cir Ste 240, Sterling, VA 20166 | 2016-06-14 |
| 1265898571 | Bba Home Health Care | Home Health | 23420 Summerstown Place, Dulles, VA 20166 | 2016-01-04 |
| 1588038590 | Mancy Modi | Physical Therapist | 45305 Catalina Court, Suite 103, Sterling, VA 20166 | 2015-11-16 |
| 1912300377 | Kiley Coleman Gibbs | Physical Therapist | 21631 Ridgetop Cir Ste 225a, Sterling, VA 20166 | 2014-09-30 |
| 1053712554 | Rx Ante Pharmacy Services, LLC | Pharmacy | 21630 Ridgetop Circle, Suite 100, Sterling, VA 20166 | 2014-09-16 |
| 1972904738 | Northern Virginia Community Hospital LLC | General Acute Care Hospital | 24440 Stone Springs Boulevard, Dulles, VA 20166 | 2014-09-11 |
| 1518304641 | Institute for The Psychological Sciences | Psychologist | 45154 Underwood Ln., Sterling, VA 20166 | 2013-05-30 |
| Find all providers in zip 20166 | ||||
| Taxonomy Code | 332BP3500X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Parenteral & Enteral Nutrition |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427328426 | South Platte River Health Services, Inc. | Durable Medical Equipment & Medical Supplies | 603 W Main St, Sterling, CO 80751-2919 | 2012-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124579024 | Continuumrx Inc | Durable Medical Equipment & Medical Supplies | 14303 Sullyfield Cir Ste C, Chantilly, VA 20151-1631 | 2016-10-17 |
| 1316324767 | Rose Ricks | Durable Medical Equipment & Medical Supplies | 2816 Aspen Grove Ct Nw, Roanoke, VA 24017-3160 | 2015-05-05 |
| 1245401769 | Apria Healthcare LLC | Durable Medical Equipment & Medical Supplies | 4102 Lafayette Blvd, Unit 17, Fredericksburg, VA 22408-4230 | 2008-03-13 |
| 1861687279 | Acariahealth Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2924 Telestar Ct, Falls Church, VA 22042-1206 | 2007-09-10 |
| 1083793350 | Homechoice Partners Inc | Durable Medical Equipment & Medical Supplies | 7400 Sunnybrook Dr, Ste 1, Roanoke, VA 24019-4269 | 2006-11-06 |
| 1659478733 | Williamson Drug Company, LLC | Durable Medical Equipment & Medical Supplies | 1572 E Parham Rd, Henrico, VA 23228 | 2006-09-20 |
| 1871690800 | Williamson Drug Company, Incorporated | Durable Medical Equipment & Medical Supplies | 2550 Ellsmere Ave, Suite F, Norfolk, VA 23513-2413 | 2006-09-20 |
| 1740388560 | Patrick Henry Hospital, Inc. | Durable Medical Equipment & Medical Supplies | 1010 Old Denbigh Blvd, Newport News, VA 23602-2017 | 2006-09-20 |
| 1174632756 | Apria Healthcare LLC | Durable Medical Equipment & Medical Supplies | 5151 Starkey Rd, Ste B, Roanoke, VA 24018-9355 | 2006-08-29 |
| 1205945904 | Patriots Colony, Inc. | Durable Medical Equipment & Medical Supplies | 6000 Patriots Colony Dr, Williamsburg, VA 23188-1396 | 2006-08-29 |
| Find all providers with the same taxonomy | ||||
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| 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.