OLD DOMINION PEDIATRICS, PLLC
NPI 1710233788
Clinic/Center - Primary Care in North Chesterfield, VA
About Old Dominion Pediatrics, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OLD DOMINION PEDIATRICS, PLLC (NPI 1710233788) is a healthcare organization registered as a primary care in North Chesterfield, Virginia and active in the NPI registry since July 2012. The organization holds a CLIA Waiver certificate valid through July 9, 2028 and lists Eric Bernard Freeman, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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 49D2043752
Old Dominion Pediatrics, PLLC · Richmond, VAOther Providers at the Same Location NPPES 3
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 Old Dominion Pediatrics, PLLC's NPI number?
The NPI number for Old Dominion Pediatrics, PLLC is 1710233788. It was assigned to this organization in the NPPES registry on July 27, 2012.
Where is Old Dominion Pediatrics, PLLC located?
Old Dominion Pediatrics, PLLC is located at 9323 Midlothian Tpke Suite E, North Chesterfield, VA 23235. The listed phone number is (804) 212-1144.
What is Old Dominion Pediatrics, PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Does Old Dominion Pediatrics, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 49D2043752) is associated with this NPI, valid through July 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Old Dominion Pediatrics, PLLC was last updated on July 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Old Dominion Pediatrics, Pllc · NPI 1710233788
Primary Care organization in North Chesterfield, Virginia. Organization record, active in the CMS NPPES registry since July 27, 2012.
## Identity
- **NPI:** 1710233788 (Entity type: Organization)
- **Enumerated:** July 27, 2012
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Eric Freeman, PRESIDENT
## Practice location
- **Address:** 9323 MIDLOTHIAN TPKE, SUITE E, North Chesterfield, VA 23235-4942
- **Phone:** (804) 212-1144 · **Fax:** (888) 681-1473
## Record status
- **NPPES last updated:** July 27, 2012
- **Other identifiers:** Medicaid 1578577086 (VA); Medicaid 010213720 (VA)
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1710233788) · Data from the CMS NPPES public registry.