CAPITAL DIAGNOSTIC LABORATORY LLC (NPI# 1417317553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417317553 |
| Entity Type | Organization |
| Organization Name | CAPITAL DIAGNOSTIC LABORATORY LLC |
| Practice Address |
46440 Benedict Dr Suite 104 Sterling VA 20164-6602 |
| Mailing Address |
51 Street of Dreams Martinsburg WV 25403-1134 |
| Practice Telephone | 7033216502 |
| Mailing Telephone | 7033216502 |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2016-03-02 |
| Authorized Official Name | IBTIHAJ AWADELKARIEM (TECHNICAL DIRECTOR) |
| Authorized Official Telephone | 7033216502 |
| Authorized Official Credential | MT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 188023 | VA | Laboratories |
| Street Address |
46440 BENEDICT DR SUITE 104 |
| City | STERLING |
| State | VA |
| Zip Code | 20164-6602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528060787 | Thomas P Mcgorry | Pediatrics | 46440 Benedict Dr, Ste 206, Sterling, VA 20164-6602 | 2005-06-01 |
| 1861934234 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 46440 Benedict Dr, Suite 108, Sterling, VA 20164-6602 | 2016-11-16 |
| 1043752413 | American Current Care Pa | Clinic/Center | 46440 Benedict Dr, Suite 108, Sterling, VA 20164-6602 | 2016-11-16 |
| 1104371731 | E R Hughes Enterprises Inc | Dentist | 46440 Benedict Dr, # 201, Sterling, VA 20164-6602 | 2016-08-24 |
| 1750735544 | Loudoun Medical Group PC | Physical Therapist | 46440 Benedict Dr, Suite 108, Sterling, VA 20164-6602 | 2016-04-18 |
| 1275929564 | Digitrace Care Services, Inc. | Clinic/Center | 46440 Benedict Dr, Suite 103, Sterling, VA 20164 | 2015-04-13 |
| 1518202001 | Yi Zhang | Nurse Practitioner | 46440 Benedict Dr, Suite 107, Sterling, VA 20164-6602 | 2012-12-10 |
| 1275842387 | Loudoun Community Health Center | Clinic/Center | 46440 Benedict Dr, Suite 208, Sterling, VA 20164-6602 | 2010-10-07 |
| 1356670541 | Erin Elizabeth Collier | Nurse Practitioner | 46440 Benedict Dr, Suite 107, Sterling, VA 20164-6602 | 2009-12-17 |
| 1871821124 | Iym Services LLC | Non-emergency Medical Transport (VAN) | 46440 Benedict Dr, Suite 104, Sterling, VA 20164-6602 | 2009-11-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255962239 | Ying Jiu Liu | Acupuncturist | 45665 W Church Rd #110 Stering, Stering, VA 20164 | 2020-01-29 |
| 1417599986 | Nab Homecare, Inc. | In Home Supportive Care | 45640 Willow Pond Plaza, Suite 100, Sterling, VA 20164 | 2019-10-16 |
| 1962905323 | Grace A Oluwadiya | Registered Nurse | 21335 Signal Hill Plaza, Suite 270, Sterling, VA 20164 | 2018-03-13 |
| 1922468602 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 21399 Epicerie Plaza, Sterling, VA 20164 | 2016-02-24 |
| 1942625603 | Totalmobility LLC | Durable Medical Equipment & Medical Supplies | 201 Davis Drive, Suite Nn, Sterling, VA 20164 | 2014-03-04 |
| 1346689189 | Traci Collier | Pharmacist | 22375 Davis Dr, Sterling, VA 20164 | 2013-06-14 |
| 1770842536 | Costco Pharmacy 218 | Clinic/Center | 21398 Price Cascades Plaza, Sterling, VA 20164 | 2012-05-14 |
| 1922371426 | Totalmobility, LLC | Durable Medical Equipment & Medical Supplies | 111k Carpenter Drive, Sterling, VA 20164 | 2012-02-14 |
| 1750676789 | Sheikh M Rasul | Pharmacist | 20600 Great Falls Plaza, Sterling, VA 20164 | 2011-06-17 |
| 1932260114 | Veena Railan | Family Medicine | 101 E.holly Avenue, Unit 9, Sterling, VA 20164 | 2006-12-12 |
| Find all providers in zip 20164 | ||||
| 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. |
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|---|---|---|---|---|
| 1881101475 | Clinical Diagnostic Laboratories, LLC | Clinical Medical Laboratory | 14 Pidgeon Hill Dr Ste 150, Sterling, VA 20165-6151 | 2018-01-04 |
| 1508385204 | Sterling Regional Medcenter | Clinical Medical Laboratory | 615 Fairhurst St, Sterling, CO 80751-4523 | 2017-09-13 |
| 1275991267 | Elisa/act Biotechnologies | Clinical Medical Laboratory | 109 Carpenter Dr, Suite 100, Sterling, VA 20164-7115 | 2016-02-04 |
| 1528465929 | Resourcepath LLC | Clinical Medical Laboratory | 45945 Trefoil Ln, Unit 175, Sterling, VA 20166-4343 | 2014-12-01 |
| 1245302009 | Mid-atlantic Pathology Services, Inc. | Clinical Medical Laboratory | 405 Glenn Dr, Suite 10-a, Sterling, VA 20164-7119 | 2006-11-15 |
| 1548349152 | Sterling Rock Falls Clinic, Ltd | Clinical Medical Laboratory | 101 E Miller Rd, Sterling, IL 61081-1252 | 2006-11-03 |
| 1104868512 | Elisa/act Biotechnologies LLC | Clinical Medical Laboratory | 14 Pidgeon Hill Dr, Suite 300, Sterling, VA 20165-6155 | 2006-06-11 |
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|---|---|---|---|---|
| 1710588074 | Vital Healthcare, LLC | Clinical Medical Laboratory | 3825 Lamplighter Ct, Portsmouth, VA 23703-2271 | 2020-11-03 |
| 1942809934 | Labmd2, Inc | Clinical Medical Laboratory | 20804 Edds Ln, Potomac Falls, VA 20165-7904 | 2020-10-21 |
| 1366040917 | Ikare Renal Solutions LLC | Clinical Medical Laboratory | 8534 Ashington Way, Williamsburg, VA 23188-6647 | 2020-10-15 |
| 1649878364 | Iqgenetix LLC | Clinical Medical Laboratory | 11100 Endeavor Ct Ste 137, Manassas, VA 20109-4027 | 2020-10-14 |
| 1437756525 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 109 Bridge St Ste 101, Danville, VA 24541-1222 | 2020-10-02 |
| 1205445491 | Fairfax Medical Lab LLC | Clinical Medical Laboratory | 4221 Walney Rd Ste 401a, Chantilly, VA 20151-2987 | 2020-07-24 |
| 1659900348 | Microgen Health, Inc | Clinical Medical Laboratory | 14225 Sullyfield Cir Ste E, Chantilly, VA 20151-1688 | 2020-04-03 |
| 1750923520 | Metropolitan Laboratory Services Inc | Clinical Medical Laboratory | 12011 Lee Jackson Memorial Hwy Ste 200, Fairfax, VA 22033-3310 | 2019-10-14 |
| 1346881067 | Zenith Diagnostics, Inc. | Clinical Medical Laboratory | 13042 Rivers Bend Road, Chester, VA 23836-2383 | 2019-10-03 |
| 1952962482 | Accurate Medical Lab Inc | Clinical Medical Laboratory | 3927 Old Lee Hwy Ste 102d, Fairfax, VA 22030-2422 | 2019-06-25 |
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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.