Provider Demographics
NPI:1235684481
Name:DEPARTMENT OF GENERAL SERVICES
Entity Type:Organization
Organization Name:DEPARTMENT OF GENERAL SERVICES
Other - Org Name:DIVISION OF CONSOLIDATED LABORATORY SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:DGSDEPUTY DIRECTOR FOR LABORATORIES
Authorized Official - Prefix:DR
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:M
Authorized Official - Last Name:TONEY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD ; HCLD(ABB)
Authorized Official - Phone:804-648-4480
Mailing Address - Street 1:600 N 5TH ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23219-1439
Mailing Address - Country:US
Mailing Address - Phone:804-648-4480
Mailing Address - Fax:
Practice Address - Street 1:600 N 5TH ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23219-1439
Practice Address - Country:US
Practice Address - Phone:804-648-4480
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-17
Last Update Date:2016-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory