Provider Demographics
NPI:1396827895
Name:VIRGINIA DIAGNOSTICS, LLC
Entity Type:Organization
Organization Name:VIRGINIA DIAGNOSTICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JASINDER
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:SARNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-933-2900
Mailing Address - Street 1:2236C GALLOWS RD
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-5200
Mailing Address - Country:US
Mailing Address - Phone:703-933-2900
Mailing Address - Fax:703-933-2502
Practice Address - Street 1:2236C GALLOWS RD
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22182-5200
Practice Address - Country:US
Practice Address - Phone:703-933-2900
Practice Address - Fax:703-933-2502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-20
Last Update Date:2012-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
No174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
No291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAFVSH01Medicare ID - Type UnspecifiedIDTF