Provider Demographics
NPI:1366876880
Name:VTEST LLC
Entity type:Organization
Organization Name:VTEST LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:KLEINFELTER
Authorized Official - Suffix:
Authorized Official - Credentials:CSAC
Authorized Official - Phone:540-382-1230
Mailing Address - Street 1:10 HICKOK ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CHRISTIANSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24073-3546
Mailing Address - Country:US
Mailing Address - Phone:540-382-1230
Mailing Address - Fax:540-381-0157
Practice Address - Street 1:10 HICKOK ST
Practice Address - Street 2:SUITE 200
Practice Address - City:CHRISTIANSBURG
Practice Address - State:VA
Practice Address - Zip Code:24073-3546
Practice Address - Country:US
Practice Address - Phone:540-382-1230
Practice Address - Fax:540-381-0157
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-03
Last Update Date:2016-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA25337291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory