DOMINION DIAGNOSTICS LLC
NPI 1578951901
Clinical Medical Laboratory in Greensboro, NC

Active since January 08, 2015CLIA 49D0926092 · Accreditation
706 GREEN VALLEY RD, SUITE 105, GREENSBORO, NC 27408(877) 734-9600(401) 667-0330 Get Directions Write a Review

NPPES record last updated: January 8, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dominion Diagnostics Llc NPPES

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

DOMINION DIAGNOSTICS LLC (NPI 1578951901) is a healthcare organization registered as a clinical medical laboratory in Greensboro, North Carolina and active in the NPI registry since January 2015. The organization holds an CLIA Accreditation certificate valid through June 28, 2027 and lists Mark A Mcsally, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1578951901
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameDOMINION DIAGNOSTICS LLC
Location Address706 GREEN VALLEY RD, SUITE 105Greensboro, NC 27408-7038
Mailing Address211 Circuit DrNorth Kingstown, RI 02852-7440 · (877) 734-9600 · Fax (401) 667-0330
Fax(401) 667-0330
Organization SubpartYes
Authorized OfficialMark A McsallyChief Operating Officer · (401) 667-0868
Enumeration DateJanuary 8, 2015
NPI 1578951901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
706 GREEN VALLEY RD, Greensboro, NC 27408

Other Identifiers 1

Other34D2089118NC · Clia Registration

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 Accreditation 49D0926092

Dominion Diagnostics, LLC · North Kingstown, RI
Active · expires Jun 28, 2027
CLIA Number49D0926092
Laboratory TypeIndependent
Certificate Effective DateJune 29, 2025
Certificate Expiration DateJune 28, 2027
Laboratory DirectorDr. Charlene R. Johnson-Tufts
Laboratory Phone(877) 734-9600
Laboratory LocationDominion Diagnostics, LLC211 Circuit Dr Attn Sara Vance, North Kingstown, RI 02852
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 14

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

Specialist
706 GREEN VALLEY RD, SUITE 104
GREENSBORO, NC 27408
Specialist
706 GREEN VALLEY RD, SUITE 104
GREENSBORO, NC 27408
Specialist
706 GREEN VALLEY RD, SUITE 104
GREENSBORO, NC 27408
Pathology (Anatomic Pathology & Clinical Pathology)
706 GREEN VALLEY RD, STE 104
GREENSBORO, NC 27408
Pathology (Dermatopathology)
706 GREEN VALLEY RD, SUITE 104
GREENSBORO, NC 27408
Pathology (Anatomic Pathology & Clinical Pathology)
706 GREEN VALLEY RD, SUITE 104
GREENSBORO, NC 27408
Pathology (Anatomic Pathology & Clinical Pathology)
706 GREEN VALLEY RD
GREENSBORO, NC 27408
Pathology (Anatomic Pathology & Clinical Pathology)
706 GREEN VALLEY RD, SUITE 104
GREENSBORO, NC 27408

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 Dominion Diagnostics LLC's NPI number?

The NPI number for Dominion Diagnostics LLC is 1578951901. It was assigned to this organization in the NPPES registry on January 8, 2015.

Where is Dominion Diagnostics LLC located?

Dominion Diagnostics LLC is located at 706 Green Valley Rd Suite 105, Greensboro, NC 27408. The listed phone number is (877) 734-9600.

What is Dominion Diagnostics LLC's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Dominion Diagnostics LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 49D0926092) is associated with this NPI, valid through June 28, 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 Dominion Diagnostics LLC was last updated on January 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.