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A laboratory that operates independently of a hospital and physician?s office to furnish physiological diagnostic services (e.g. EEG?s , EKG?s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Physiological Laboratory, (Independent Physiological Lab) |
293D00000X | 47 | Independent Diagnostic Testing Facility (IDTF) | |
Diagnostic Radiology |
2085R0202X | 30 | Physician/Diagnostic Radiology | |
Hematology & Oncology |
207RH0003X | 11 | Physician/Internal Medicine |
| NPI Number | 1851863815 |
| LBN Legal business name | VIRGINIA CANCER INSTITUTE INCORPORATED |
| Authorized official | PABLO GONZALEZ - (PRESIDENT/MANAGING PARTNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 12/31/2018 |
| Last updated | 04/15/2021 - About 5 years ago |
| Identifiers | n/a |
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| JOHN PHILLIP R PEMBERTON, MD VCUHS DEPARTMENT OF MEDICINE-PEDIATRICS RESIDENCY RICHMOND, VA |
| NATASHA DZIARNOWSKI, DO VCUHS DEPARTMENT OF INTERNAL MEDICINE RESIDENCY RICHMOND, VA |
| THOMAS R YACKEL, MD 417 N 11TH ST RICHMOND, VA |
VIRGINIA CANCER INSTITUTE INCORPORATED