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Contact Information

OLD DOMINION UNIVERSITY
4111 MONARCH WAY
ROOM 3104
NORFOLK, VA23508
 Phone: 757-683-5393
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Medical Laboratory

291U00000X 69 Clinical Laboratory
Indicates primary specialty

NPI Profile & details for OLD DOMINION UNIVERSITY

NPI # 1952144875
LBN Legal business name OLD DOMINION UNIVERSITY
Authorized official PETER MOLLICA - (LABORATORY DIRECTOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 06/18/2024
Last updated 06/18/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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