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Organization

RX INNOVATIONS, LLC, DBA FIRSTLAB OF VIRGINIA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. THOMAS ARNOLD FISCHER MS MT(ASCP) (ADMINISTRATIVE DIRECTOR)
(757) 412-3273
Entity
Organization

Contact information

Practice address
1701 WILL O WISP DR, VIRGINIA BEACH, VA 23454-3102
(757) 412-3273
(757) 412-6464
Mailing address
1701 WILL O WISP DR, VIRGINIA BEACH, VA 23454-3102
(757) 412-3273
(757) 412-6464

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
2005-108709-R
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0017147150004
PA
05
0081027
NJ
05
1000038465
DE
05
100251695-00
NE
01
145016
ANTHEM BC/BS
VA
05
3810001231
WV
05
LB872VA
AL
Enumeration date
06/01/2006
Last updated
08/22/2020
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