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PEDIATRIC DIAGNOSTIC CENTER
NPI 1245386341
Pediatrics in Virginia Beach, VA

Active since January 25, 2007CLIA 49D1089702 · Waiver
2021 CONCERT DR STE 202, VIRGINIA BEACH, VA 23456(757) 668-4980(757) 668-4989 Get Directions Write a Review

NPPES record last updated: February 26, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pediatric Diagnostic Center NPPES

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

PEDIATRIC DIAGNOSTIC CENTER (NPI 1245386341) is a healthcare organization registered as a pediatrics in Virginia Beach, Virginia and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through September 23, 2026, maintains a secondary practice location in Norfolk, and lists Kathryn J Abshire, Senior Vp/cfo, as its authorized official.

NPPES Registry Identity

NPI1245386341
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCHILDRENS MEDICAL GROUP INC
Location Address2021 CONCERT DR STE 202Virginia Beach, VA 23456-8083
Mailing Address601 Childrens LnNorfolk, VA 23507-1910 · (757) 668-7017 · Fax (757) 668-8929
Phone(757) 668-4980
Fax(757) 668-4989
Organization SubpartYes
Authorized OfficialKathryn J AbshireSenior Vp/cfo · (757) 668-8565
Enumeration DateJanuary 25, 2007
Last NPPES UpdateFebruary 26, 2024
NPPES CertifiedFebruary 26, 2024
✔ NPI 1245386341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2021 CONCERT DR STE 202, Virginia Beach, VA 23456
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Other Names 1

Doing Business AsPediatric Diagnostic Center

Secondary Practice Location 1

Location 16161 Kempsville Cir Ste 101Norfolk, VA 23502-3932 · Phone (757) 668-4980 · Fax (757) 668-4989

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Waiver 49D1089702

Pediatric Diagnostic Center · Virginia Beach, VA
Active · expires Sep 23, 2026
CLIA Number49D1089702
Laboratory TypePhysician Office
Certificate Effective DateSeptember 24, 2024
Certificate Expiration DateSeptember 23, 2026
Laboratory DirectorBernadette E. Leidel
Laboratory Phone(757) 453-6711
Laboratory LocationPediatric Diagnostic Center2021 Concert Drive - Suite 202, Virginia Beach, VA 23456
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

DIANA GRACE STAFFORD MD
Pediatrics
2021 CONCERT DR STE 202
VIRGINIA BEACH, VA 23456
Virginia Beach City (757) 668-4980
SARA ELIZABETH SMITH M.D.
Pediatrics
2021 CONCERT DR STE 202
VIRGINIA BEACH, VA 23456
Virginia Beach City (757) 668-4980

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 Childrens Medical Group Inc's NPI number?

The NPI number for Childrens Medical Group Inc is 1245386341. It was assigned to this organization in the NPPES registry on January 25, 2007. The provider is doing business as Pediatric Diagnostic Center.

Where is Childrens Medical Group Inc located?

Childrens Medical Group Inc is located at 2021 Concert Dr Ste 202, Virginia Beach, VA 23456. The listed phone number is (757) 668-4980.

What is Childrens Medical Group Inc's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Childrens Medical Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D1089702) is associated with this NPI, valid through September 23, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Childrens Medical Group Inc was last updated on February 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.