MEDICARE: ALERE TOXICOLOGY SERVICES, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1689874893
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALERE TOXICOLOGY SERVICES, INC

Provider Business Mailing Address
First Line	:	450 SOUTHLAKE BLVD
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23236-3045
Country	:	US
Telephone Number	:	512-593-9659
Fax Number	:

Provider Business Practice Location Address
First Line	:	450 SOUTHLAKE BLVD
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23236-3045
Country	:	US
Telephone Number	:	804-378-9130
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CHRISTOPHER SCOGGINS
Credential	:
Telephone Number	:	512-593-9659

Provider Enumeration Date	:	07/25/2007
Last Update Date	:	05/04/2020

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