Provider Demographics
NPI:1952777211
Name:VERACIS, INCORPORATED
Entity Type:Organization
Organization Name:VERACIS, INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO & CHAIRMAN OF THE BOARD
Authorized Official - Prefix:MS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:EDMONDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-212-2975
Mailing Address - Street 1:737 NORTH 5TH ST
Mailing Address - Street 2:SUITE 304
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23219-1441
Mailing Address - Country:US
Mailing Address - Phone:804-212-2975
Mailing Address - Fax:804-709-0143
Practice Address - Street 1:737 NORTH 5TH ST
Practice Address - Street 2:SUITE 304
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23219-1441
Practice Address - Country:US
Practice Address - Phone:804-212-2975
Practice Address - Fax:804-709-0143
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:IMMUNARRAY, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-08-20
Last Update Date:2016-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory