KIDMED STAFFORD
NPI 1174042022
Clinic/Center - Urgent Care in Stafford, VA
About Kidmed Stafford NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIDMED STAFFORD (NPI 1174042022) is a healthcare organization registered as an urgent care in Stafford, Virginia and active in the NPI registry since September 2017. The organization holds a CLIA Certificate of Compliance certificate valid through August 3, 2027 and lists Mark A Flanzenbaum, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
CLIA Laboratory Certificates CMS CLIA
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 Compliance 49D2093143
Kidmed - Stafford · Stafford, VAOther Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kidmed Inc.'s NPI number?
The NPI number for Kidmed Inc. is 1174042022. It was assigned to this organization in the NPPES registry on September 12, 2017. The provider is doing business as Kidmed Stafford.
Where is Kidmed Inc. located?
Kidmed Inc. is located at 20 Doc Stone Rd, Stafford, VA 22556. The listed phone number is (804) 647-2240.
What is Kidmed Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.
Does Kidmed Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 49D2093143) is associated with this NPI, valid through August 3, 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 Kidmed Inc. was last updated on August 30, 2023. 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.
# Kidmed Stafford · NPI 1174042022
Urgent Care organization in Stafford, Virginia. Organization record, active in the CMS NPPES registry since September 12, 2017.
## Identity
- **NPI:** 1174042022 (Entity type: Organization)
- **Enumerated:** September 12, 2017
- **Primary specialty:** Clinic/Center - Urgent Care · taxonomy 261QU0200X
- **Legal business name:** Kidmed Inc.
- **Organization subpart:** Yes (part of Kidmed Inc.)
- **Authorized official:** Mark Flanzenbaum, PRESIDENT
## Practice location
- **Address:** 20 DOC STONE RD, Stafford, VA 22556-4515
- **Phone:** (804) 647-2240
## Record status
- **NPPES last updated:** August 30, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1174042022) · Data from the CMS NPPES public registry.