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LAURA LOOMER MOYLAN M.D.
NPI 1235192527
Specialist in Salem, VA

Active since April 09, 2006Opted out of Medicare · through Dec 3, 2026CLIA 49D0927315 · Microscopy
1930 BRAEBURN DR, SUITE B, SALEM, VA 24153(540) 776-6800(540) 776-2919 Get Directions Write a Review

NPPES record last updated: October 22, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Laura Loomer Moylan M.d. NPPES

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

LAURA LOOMER MOYLAN M.D. (NPI 1235192527) is an individual specialist in Salem, Virginia, licensed in Virginia (0101044609) and active in the NPI registry since April 2006. She has opted out of Medicare through December 3, 2026 and remains eligible to order and refer and holds a CLIA Microscopy certificate valid through April 15, 2027.

NPPES Registry Identity

NPI1235192527
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameLAURA LOOMER MOYLANCredential: M.D.
Location Address1930 BRAEBURN DR, SUITE BSalem, VA 24153-7391
Mailing Address6008 Cavalier DrRoanoke, VA 24018-3880 · (540) 772-6920
Phone(540) 776-6800
Fax(540) 776-2919
Sole ProprietorYes
Enumeration DateApril 9, 2006
Last NPPES UpdateOctober 22, 2010
✔ NPI 1235192527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in VA · 0101044609
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1930 BRAEBURN DR, Salem, VA 24153
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Other Identifiers 5

Medicaid6209718VA
Medicare UPINE91627VA
Other54-1832336VA · Tax Id #
Medicare ID-Type Unspecified160001435VA · Medicare Provider #
Other282028VA · Bcbs Provider Number

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Laura Loomer Moylan M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 3, 2012 through December 3, 2026.

Opt-Out Effective DateDecember 3, 2012
Opt-Out In Effect ThroughDecember 3, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 for Provider-Performed Microscopy Procedures (PPMP) 49D0927315

Laura L Moylan MD PC · Roanoke, VA
Active · expires Apr 15, 2027
CLIA Number49D0927315
Laboratory TypePhysician Office
Certificate Effective DateApril 16, 2025
Certificate Expiration DateApril 15, 2027
Laboratory DirectorLaura L. Moylan
Laboratory Phone(540) 776-6800
Laboratory LocationLaura L Moylan MD PC3130 Chaparral Dr, Suite 202, Roanoke, VA 24018
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

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

DR. GARY WAYNE CRAWFORD DDS
Dentist
1930 BRAEBURN DR, SUITE A
SALEM, VA 24153
Salem City (540) 774-1955

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 Laura Moylan's NPI number?

The NPI number for Laura Moylan is 1235192527. It was assigned to this individual provider in the NPPES registry on April 9, 2006.

Where is Laura Moylan located?

Laura Moylan practices at 1930 Braeburn Dr Suite B, Salem, VA 24153. The listed phone number is (540) 776-6800.

What is Laura Moylan's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Laura Moylan enrolled in Medicare?

No. Laura Moylan has opted out of Medicare through December 3, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Does Laura Moylan hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 49D0927315) is associated with this NPI, valid through April 15, 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 Laura Moylan was last updated on October 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.