Provider Demographics
NPI:1497348320
Name:RESEARCH INSTITUTION LC
Entity Type:Organization
Organization Name:RESEARCH INSTITUTION LC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:FEMI
Authorized Official - Middle Name:S
Authorized Official - Last Name:OBASUN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD,DHA,DBA
Authorized Official - Phone:757-506-8004
Mailing Address - Street 1:3576 KINGS CREEK RD
Mailing Address - Street 2:
Mailing Address - City:HAYES
Mailing Address - State:VA
Mailing Address - Zip Code:23072-4226
Mailing Address - Country:US
Mailing Address - Phone:757-506-8004
Mailing Address - Fax:
Practice Address - Street 1:7007 BACKLICK CT STE 200
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22151-3938
Practice Address - Country:US
Practice Address - Phone:175-750-6800
Practice Address - Fax:804-684-5888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-11
Last Update Date:2021-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No251B00000XAgenciesCase Management
No251G00000XAgenciesHospice Care, Community Based
No251J00000XAgenciesNursing CareGroup - Single Specialty
No251K00000XAgenciesPublic Health or Welfare
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental HealthGroup - Single Specialty
No364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, AdultGroup - Single Specialty