MEDICARE: VPC LABORATORIES LLC

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	247ZC0005X	Clinical Laboratory Director (Non-physician)

General Provider Information

NPI Number	:	1952053084
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VPC LABORATORIES LLC

Provider Business Mailing Address
First Line	:	8850 SEAYCROFT DR
Second Line	:
City	:	MECHANICSVILLE
State	:	VA
Zip	:	23116-2973
Country	:	US
Telephone Number	:	803-574-2463
Fax Number	:	413-274-2463

Provider Business Practice Location Address
First Line	:	11535 NUCKOLS RD STE E
Second Line	:
City	:	GLEN ALLEN
State	:	VA
Zip	:	23059-5671
Country	:	US
Telephone Number	:	803-574-2463
Fax Number	:	413-274-2463

Authorized Official
Title or Position	:	MANAGER
Name	:	MRS. PINALBEN SHAH
Credential	:
Telephone Number	:	803-574-2463

Provider Enumeration Date	:	01/20/2022
Last Update Date	:	02/14/2022

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