Provider Demographics
NPI:1376160473
Name:VIRANT DIAGNOSTICS, INC
Entity Type:Organization
Organization Name:VIRANT DIAGNOSTICS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:HUAMIN
Authorized Official - Middle Name:HENRY
Authorized Official - Last Name:LI
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PHD
Authorized Official - Phone:877-888-2973
Mailing Address - Street 1:10317 KINGSWAY CT
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042
Mailing Address - Country:US
Mailing Address - Phone:443-280-3208
Mailing Address - Fax:888-713-3456
Practice Address - Street 1:11002 VEIRS MILL RD
Practice Address - Street 2:SUITE 404
Practice Address - City:WHEATON
Practice Address - State:MD
Practice Address - Zip Code:20902
Practice Address - Country:US
Practice Address - Phone:877-888-2973
Practice Address - Fax:888-713-3456
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-06
Last Update Date:2022-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory