Provider Demographics
NPI:1184607442
Name:VIRGINIA COMMONWEALTH UNIVERSITY
Entity type:Organization
Organization Name:VIRGINIA COMMONWEALTH UNIVERSITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROFESSOR AND CHAIR
Authorized Official - Prefix:DR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:B
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PHD
Authorized Official - Phone:804-828-9685
Mailing Address - Street 1:PO BOX 980263
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23298-0263
Mailing Address - Country:US
Mailing Address - Phone:804-828-9685
Mailing Address - Fax:804-828-0283
Practice Address - Street 1:1112 E CLAY ST
Practice Address - Street 2:4TH FLOOR, ROOM 114
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23298-5057
Practice Address - Country:US
Practice Address - Phone:804-828-6322
Practice Address - Fax:804-828-0283
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory