LABURNUM MEDICAL CENTER
NPI 1003849589
Family Medicine in Richmond, VA

Q: What is Bon Secours Memorial Regional Medical Center LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since July 08, 2006CLIA Certified · 2 labs

4620 S LABURNUM AVE, RICHMOND, VA 23231(804) 226-2444(804) 222-0458 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 24, 2024, Jul 11, 2019, Aug 31, 2018 (3 updates tracked since 2018).

On this page

About Laburnum Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LABURNUM MEDICAL CENTER (NPI 1003849589) is a healthcare organization registered as a family medicine in Richmond, Virginia and active in the NPI registry since July 2006. The organization holds 2 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Cassie Lowe, Director Payer Enrollment, as its authorized official.

NPPES Registry Identity

NPI1003849589

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameBON SECOURS MEMORIAL REGIONAL MEDICAL CENTER LLC

Location Address4620 S LABURNUM AVERichmond, VA 23231

Mailing AddressPo Box 639995Cincinnati, OH 45263-9995 · Fax (866) 449-0896

Phone(804) 226-2444

Fax(804) 222-0458

Organization SubpartNo

Authorized OfficialCassie LoweDirector Payer Enrollment · (513) 952-5210

Enumeration DateJuly 8, 2006

Last NPPES UpdateApril 24, 20243 updates tracked since enumeration

NPPES CertifiedApril 24, 2024

✔ NPI 1003849589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedPediatricsTaxonomy 208000000X

4620 S LABURNUM AVE, Richmond, VA 23231

Open in Google Maps ↗

Other Names 1

Doing Business AsLaburnum Medical Center

Secondary Practice Locations 2

Location 14630 S Laburnum AveRichmond, VA 23231-2424 · Phone (804) 226-2444 · Fax (804) 222-0458

Location 28220 Meadowbridge RdMechanicsville, VA 23116-2336 · Phone (804) 764-2200 · Fax (804) 764-3291

Other Identifiers 1

OtherCN5711VA · Railroad Medicare

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2086216

Laburnum Medical Center Mrmc · Mechanicsville, VA

Active · expires Oct 28, 2026

CLIA Number49D2086216

Laboratory TypePhysician Office

Certificate Effective DateOctober 29, 2024

Certificate Expiration DateOctober 28, 2026

Laboratory DirectorNau D. Domah

Laboratory Phone(804) 514-1268

Laboratory LocationLaburnum Medical Center Mrmc8220 Meadowbridge Road -Suite 203, Mechanicsville, VA 23116

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 49D2018772

Laburnum Medical Annex · Richmond, VA

Active · expires May 17, 2027

CLIA Number49D2018772

Laboratory TypePhysician Office

Certificate Effective DateMay 18, 2025

Certificate Expiration DateMay 17, 2027

Laboratory DirectorAbbas Ashrafi

Laboratory Phone(804) 226-2444

Laboratory LocationLaburnum Medical Annex4630 S Laburnum Avenue - Suite D, Richmond, VA 23231

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILLIAM EDWARD NOLLER M.D.

Family Medicine