Provider Demographics
NPI:1720656259
Name:STARTING POINT OF VIRGINIA, P.C.
Entity type:Organization
Organization Name:STARTING POINT OF VIRGINIA, P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:RUPERT
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCORMAC
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:800-805-6989
Mailing Address - Street 1:PO BOX 749057
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-9057
Mailing Address - Country:US
Mailing Address - Phone:800-805-6989
Mailing Address - Fax:
Practice Address - Street 1:301 FALLS DR NW
Practice Address - Street 2:SUITE 353
Practice Address - City:ABINGDON
Practice Address - State:VA
Practice Address - Zip Code:24210-1933
Practice Address - Country:US
Practice Address - Phone:800-805-6989
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STARTING POINT OF VIRGINIA, P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-06-11
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA49D2150952OtherCLIA