LEWIS-GALE PHYSICIANS LLC NPI 1588863385

NPI Information

  • NPI: 1588863385
  • Provider Name: LEWIS-GALE PHYSICIANS, LLC
  • Classification: Clinical Medical Laboratory - 291U00000X
  • Entity Type: Organization
  • Other Name: PEDIATRIC DEPARTMENT LABORATORY
  • CLIA Number: 49D0669350
  • Address: 1802 BRAEBURN DR
    SALEM, VA
    ZIP 24153
  • Phone: (540) 772-5962

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NPI Details

LEWIS-GALE PHYSICIANS, LLC is a clinical medical laboratory in Salem, VA. The provider is (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 determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. LEWIS-GALE PHYSICIANS, LLC NPI is 1588863385. The provider is registered as an organization entity type.
The provider Other Name Is Pediatric Department Laboratory.

The provider's business location address is:

1802 BRAEBURN DR
SALEM, VA
ZIP 24153-357
Phone: (540) 772-5962

The provider's authorized official is Otis W. Blackwood .
The authorized official title is Practice Administrator and has the following contact phone number (540) 772-5995.

The CLIA number assigned to this NPI record is 49D0669350 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/12/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1291U00000XClinical Medical LaboratoryYes

What is NPI?

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This page was last updated on: 11/21/2025

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