LABURNUM MEDICAL CENTER
NPI 1003849589
Family Medicine in Richmond, VA

Active since July 08, 2006CLIA 49D2018772 · Waiver
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: October 25, 2026.

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

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 a CLIA Waiver certificate valid through May 17, 2027, 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
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

Other Names 1

Doing Business AsLaburnum Medical Center

Secondary Practice Locations 2

Location 18220 Meadowbridge RdMechanicsville, VA 23116-2336 · Phone (804) 764-2200 · Fax (804) 764-3291
Location 24630 S Laburnum AveRichmond, VA 23231-2424 · Phone (804) 226-2444 · Fax (804) 222-0458

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Laburnum Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

20

Medicare enrollment records show 20 clinicians reassign Medicare billing to Laburnum Medical Center, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 6

Family Practice6
Nurse Practitioner6
Cardiovascular Disease (Cardiology)4
Internal Medicine2
Orthopedic Surgery1
Psychiatry1

Clinicians, nearest first (20)

Family Practice
NPI 1598298127
4620 S LABURNUM AVE
Richmond, VA 23231
(804) 226-2444
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1689499147
4620 S LABURNUM AVE
Richmond, VA 23231
(804) 226-2444
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1083242671
4630 S LABURNUM AVE STE D
Richmond, VA 23231
(804) 226-2444
✔ PECOS✔ Accepts Medicare0.1 mi
Psychiatry
NPI 1801214937
1500 N 28TH ST
Richmond, VA 23223
(804) 371-1675
✔ PECOS✔ Accepts Medicare3.0 mi
Nurse Practitioner
NPI 1063065373
1101 E MARSHALL ST STE 1-030
Richmond, VA 23298
(804) 828-8786
✔ PECOS✔ Accepts Medicare4.3 mi
Nurse Practitioner
NPI 1861410086
8220 MEADOWBRIDGE RD STE 203
Mechanicsville, VA 23116
(804) 764-2200
✔ PECOS✔ Accepts Medicare7.3 mi
Internal Medicine
NPI 1427613736
8200 MEADOWBRIDGE RD SUITE 306, MOB IV
Mechanicsville, VA 23116
(608) 217-1517
✔ PECOS✔ Accepts Medicare7.3 mi
Cardiovascular Disease (Cardiology)
NPI 1639194913
7001 FOREST AVE SUITE 200
Richmond, VA 23230
(804) 288-3123
✔ PECOS✔ Accepts Medicare11 mi
Cardiovascular Disease (Cardiology)
NPI 1154334241
7001 FOREST AVE STE 200
Richmond, VA 23230
(804) 288-3123
✔ PECOS✔ Accepts Medicare11 mi
Internal Medicine
NPI 1518222785
8545 PATTERSON AVE STE 206
Henrico, VA 23229
(804) 258-4472
✔ PECOS✔ Accepts Medicare12 mi
Cardiovascular Disease (Cardiology)
NPI 1679531487
13319 WELBY TER
Midlothian, VA 23113
(804) 347-3002
✔ PECOS✔ Accepts Medicare16 mi
Family Practice
NPI 1932697034
12089 GAYTON RD
Henrico, VA 23238
(804) 404-6208
✔ PECOS17 mi
Family Practice
NPI 1598343824
13540 HULL STREET RD
Midlothian, VA 23112
(804) 739-6142
✔ PECOS✔ Accepts Medicare18 mi
Nurse Practitioner
NPI 1669945663
1041 SHARON RD STE 205
King William, VA 23086
(804) 769-3096
✔ PECOS✔ Accepts Medicare19 mi
Nurse Practitioner
NPI 1023854676
1041 SHARON RD STE 205
King William, VA 23086
(804) 769-3096
✔ PECOS✔ Accepts Medicare19 mi
Cardiovascular Disease (Cardiology)
NPI 1003878794
95 HARRIS RD # MOB1
Kilmarnock, VA 22482
(804) 435-7735
✔ PECOS✔ Accepts Medicare55 mi
Family Practice
NPI 1184870271
504 E RIDGEVILLE BLVD STE 120
Mount Airy, MD 21771
(240) 215-6370
✔ PECOS✔ Accepts Medicare127 mi
Orthopedic Surgery
NPI 1508008665
2 CELESTE DR
Johnstown, PA 15905
(814) 792-6188
✔ PECOS✔ Accepts Medicare210 mi
Nurse Practitioner
NPI 1700255916
106 W MAIN ST
Louisville, MS 39339
(662) 446-1972
✔ PECOS✔ Accepts Medicare727 mi
Family Practice
NPI 1619597150
7501 RIVERSIDE PKWY
Tulsa, OK 74136
(918) 710-4200
✔ PECOS✔ Accepts Medicare1,036 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 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.

Certificate of Waiver 49D2086216

Laburnum Medical Center Mrmc · Mechanicsville, VA
Expired · 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.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bon Secours Memorial Regional Medical Center LLC's NPI number?

The NPI number for Bon Secours Memorial Regional Medical Center LLC is 1003849589. It was assigned to this organization in the NPPES registry on July 8, 2006. The provider is doing business as Laburnum Medical Center.

Where is Bon Secours Memorial Regional Medical Center LLC located?

Bon Secours Memorial Regional Medical Center LLC is located at 4620 S Laburnum Ave, Richmond, VA 23231. The listed phone number is (804) 226-2444.

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.

Is Bon Secours Memorial Regional Medical Center LLC enrolled in Medicare?

Yes. Bon Secours Memorial Regional Medical Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bon Secours Memorial Regional Medical Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 6 Medicare specialties reassign their Medicare billing to Bon Secours Memorial Regional Medical Center LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (6), Nurse Practitioner (6) and Cardiovascular Disease (Cardiology) (4). Of these, 2 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Bon Secours Memorial Regional Medical Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2018772) is associated with this NPI, valid through May 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bon Secours Memorial Regional Medical Center LLC was last updated on April 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.