Provider Demographics
NPI:1962818609
Name:WINCHESTER OB/GYN LAB
Entity Type:Organization
Organization Name:WINCHESTER OB/GYN LAB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:BETH
Authorized Official - Last Name:PINGLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-662-0711
Mailing Address - Street 1:1705 AMHERST STREET
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601
Mailing Address - Country:US
Mailing Address - Phone:540-662-0711
Mailing Address - Fax:540-722-3269
Practice Address - Street 1:1705 AMHERST ST
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-3345
Practice Address - Country:US
Practice Address - Phone:540-662-0711
Practice Address - Fax:540-722-3269
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WINCHESTER OB/GYN
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-07-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory