KIDMED WEST END
NPI 1407013121
Clinic/Center - Urgent Care in Glen Allen, VA

Q: What is Kidmed Inc.'s NPI number?

The NPI number for Kidmed Inc. is 1407013121. It was assigned to this organization in the NPPES registry on May 20, 2008. The provider is doing business as Kidmed West End.

Q: What is Kidmed Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Q: 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.

Active since May 20, 2008CLIA 49D1087292 · Certificate of Compliance

4687 POUNCEY TRACT RD, GLEN ALLEN, VA 23059(804) 647-2240 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 30, 2023, Feb 28, 2020, Mar 20, 2018 (3 updates tracked since 2018).

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About Kidmed West End NPPES

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

KIDMED WEST END (NPI 1407013121) is a healthcare organization registered as an urgent care in Glen Allen, Virginia and active in the NPI registry since May 2008. The organization holds a CLIA Certificate of Compliance certificate valid through August 26, 2027 and lists Mark A Flanzenbaum, President, as its authorized official.

NPPES Registry Identity

NPI1407013121

Entity TypeOrganization

Primary Taxonomy261QU0200X

Legal Business NameKIDMED INC.

Location Address4687 POUNCEY TRACT RDGlen Allen, VA 23059-5802

Mailing Address4687 Pouncey Tract RdGlen Allen, VA 23059-5802 · (804) 422-5437

Phone(804) 647-2240

Organization SubpartYes

Authorized OfficialMark A FlanzenbaumPresident · (804) 592-5437

Enumeration DateMay 20, 2008

Last NPPES UpdateAugust 30, 20233 updates tracked since enumeration

NPPES CertifiedAugust 30, 2023

✔ NPI 1407013121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities

Taxonomy Code261QU0200X

4687 POUNCEY TRACT RD, Glen Allen, VA 23059

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Other Names 1

Doing Business AsKidmed West End

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 49D1087292

Kidmed West End · Glen Allen, VA

Active · expires Aug 26, 2027

CLIA Number49D1087292

Laboratory TypePhysician Office

Certificate Effective DateAugust 27, 2025

Certificate Expiration DateAugust 26, 2027

Laboratory DirectorJeffrey E. Bennett

Laboratory Phone(804) 422-5437

Laboratory LocationKidmed West End4687 Pouncey Tract Road, Glen Allen, VA 23059

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 13

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

EMILY MONTAIGNE

Emergency Medicine (Pediatric Emergency Medicine)