IMMEDIATE LABS, LLC


Address: 9067 Loreleigh Way, Fairfax, VA 22031-2049
Phone: 5713358255

IMMEDIATE LABS, LLC (NPI# 1871962126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871962126
Entity Type Organization
Organization Name IMMEDIATE LABS, LLC
Practice Address 9067 Loreleigh Way
Fairfax
VA 22031-2049
Practice Telephone 5713358255
Practice Fax Number 5717339895
Mailing Telephone 5713358255
Mailing Fax Number 5717339895
Enumeration Date 2015-09-16
Last Update Date 2015-09-16
Authorized Official Name JIN FENG (OWNER)
Authorized Official Telephone 5713358255
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 291U00000X Clinical Medical Laboratory 15-IMME VA Laboratories

Office Location

Street Address 9067 LORELEIGH WAY
City FAIRFAX
State VA
Zip Code 22031-2049

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1790262020 S Renee Dennis Nurse Practitioner 8316 Arlington Blvd Ste 500, Fairfax, VA 22031 2018-07-19
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Taxonomy Information

Taxonomy Code 291U00000X
Grouping Laboratories
Classification Clinical Medical Laboratory

Taxonomy Definition

(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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1073621504 Lightmicron Diagnostics, LLC Clinical Medical Laboratory 10347 Democracy Lane, B, Fairfax, VA 22030 2006-08-25
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1205238383 Amerimmune LLC Clinical Medical Laboratory 11212 Waples Mill Rd, Suite 100, Fairfax, VA 22030-7404 2014-09-21
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City FAIRFAX
Zip Code 22031

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Dataset Information

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.

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