NPI Details
BOSTWICK LABORATORIES, INC. is a clinical medical laboratory in Glen Allen, 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. BOSTWICK LABORATORIES, INC. NPI is 1952465288. The provider is registered as an organization entity type.
The provider's business location address is:
4851 LAKE BROOK DR
GLEN ALLEN, VA
ZIP 23060-233
Phone: (804) 967-9225
Fax: (804) 239-1954
The provider's authorized official is David Granger Bostwick .
The authorized official title is Ceo, President, Chief Med. Officer and has the following contact phone number (804) 967-9225.
The enumeration date for this NPI number is 12/21/2006 and was last updated on 5/22/2012.
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 |
| 1 | 291U00000X | Clinical Medical Laboratory | | | | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 164650710 | MEDICAID | MICHIGAN | |
| 2 | 275326 MCD | MEDICAID | OREGON | |
| 3 | 32940800 | MEDICAID | WISCONSIN | |
| 4 | 37000718 | MEDICAID | KENTUCKY | |
| 5 | 036874800 | MEDICAID | DISTRICT OF COLUMBIA | |
| 6 | 190000932 | OTHER | VIRGINIA | MEDICARE PTAN |
| 7 | 1952465288 | MEDICAID | MINNESOTA | |
| 8 | 200024720A | MEDICAID | OKLAHOMA | |
| 9 | 0578229 | MEDICAID | IOWA | |
| 10 | =========001 | MEDICAID | UTAH | |
| 11 | 164040101 | MEDICAID | TEXAS | |
| 12 | 409261900 | MEDICAID | MARYLAND | |
| 13 | 4582490 | MEDICAID | TENNESSEE | |
| 14 | 706132305 | MEDICAID | MISSOURI | |
| 15 | 1009021320002 | MEDICAID | PENNSYLVANIA | |
| 16 | 010062811 | MEDICAID | VIRGINIA | |
| 17 | =========001 | MEDICAID | ILLINOIS | |
| 18 | P00065922 | MEDICARE PIN | | |
| 19 | 440615 | MEDICAID | ARIZONA | |
| 20 | 6701112000 | MEDICAID | WEST VIRGINIA | |
| 21 | 7123995 | MEDICAID | WASHINGTON | |
| 22 | 000000265139 | OTHER | OHIO | UNISON HEALTH (OH MEDICAID HMO) |
| 23 | 533631 | OTHER | ARIZONA | MERCY CARE PLAN |
| 24 | 138056 | OTHER | VIRGINIA | ANTHEM BCBS OF VIRGINIA |
| 25 | ========= | OTHER | MARYLAND | UNITED HEALTHCARE |
| 26 | 190000932 | MEDICARE ID-TYPE UNSPECIFIED | VIRGINIA | |
| 27 | 200375010A | MEDICAID | INDIANA | |
| 28 | 32287232 | MEDICAID | COLORADO | |
| 29 | 82083339 | MEDICAID | NEW MEXICO | |
| 30 | 100503849 | MEDICAID | NEVADA | |
| 31 | L00184 | MEDICAID | SOUTH CAROLINA | |
| 32 | 20073351 | OTHER | SOUTH CAROLINA | SC SELECT HEALTH /MEDICAID HMO |
| 33 | 152979709 | MEDICAID | ARKANSAS | |
| 34 | 690000006 | MEDICAID | ALABAMA | |
| 35 | 8069026 | MEDICAID | IDAHO | |
| 36 | 1900009 | MEDICAID | RHODE ISLAND | |
| 37 | 2420571 | MEDICAID | OHIO | |
| 38 | 911980900 | MEDICAID | FLORIDA | |
| 39 | 120124700 | MEDICAID | WYOMING | |
| 40 | 0421311 | MEDICAID | MONTANA | |
| 41 | 01837399 | MEDICAID | MISSISSIPPI | |
| 42 | 036874800 | OTHER | DISTRICT OF COLUMBIA | DC MEDICAID (ACS) |
| 43 | 200262210A | MEDICAID | KANSAS | |
| 44 | 419300000 | MEDICAID | MAINE | |
| 45 | 568644630A | MEDICAID | GEORGIA | |
| 46 | 7001242 | MEDICAID | NORTH CAROLINA | |
| 47 | 1198722 | MEDICAID | LOUISIANA | |
