Organization · Type 2 NPI

Old Dominion University

Clinical Medical Laboratory · Norfolk, VA

NPI number 1952144875 Active

Practice location

4111 Monarch Way, Room 3104
Norfolk, VA 23508

Call (757) 683-5393 Map

Mailing address

4608 Hampton Blvd, 2118 Health Sciences Bldg
Norfolk, VA 23508

Specialties and licenses

Taxonomy	Code	License
Clinical Laboratory Director (Non-physician)	247ZC0005X	None listed
Clinical Medical Laboratory Primary	291U00000X	None listed

Clinical Medical Laboratory: (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to det…

3 other providers at this address

Other clinical medical laboratory providers in Norfolk

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NPI record

NPI: 1952144875
Entity type: Organization (Type 2)
Issued: Jun 18, 2024
Last updated: Jun 18, 2024
Status: Active
Subpart: Yes of Old Dominion University

Other names

<unavail>
Monarch Molecular Clinical Laboratory · other name
Monarch Molecular Clinical Laboratory · other name

Authorized official

Dr. Peter Anthony Mollica, PhD
Laboratory Director
(757) 683-3459

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1952144875

Old Dominion University's National Provider Identifier is 1952144875, issued on Jun 18, 2024. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Norfolk, VA. The record was last updated on Jun 18, 2024.