Organization
VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY
Active
Other names
VCU Health Medical Center Pathology
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETH HARLAN (REVENUE CYCLE OPTIMIZATION DIRECTOR)
(804) 828-5009
Entity
Organization
Contact information
Practice address
403 NORTH 13TH STREET ROOM 611, RICHMOND, VA 23298
(804) 828-6315
(804) 828-6872
Mailing address
PO BOX 758997, BALTIMORE, MD 21275-0001
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
49D0226653
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49D0226653
CMS - CLIA
VA
Enumeration date
10/25/2006
Last updated
01/27/2025
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