SOUTHSIDE REGIONAL MEDICAL CENTER
NPI 1740303593
Clinical Medical Laboratory in Petersburg, VA

Active since April 09, 2007
200 MEDICAL PARK BLVD, PETERSBURG, VA 23805(804) 765-5000(804) 765-5962 Get Directions Write a Review

NPPES record last updated: August 3, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southside Regional Medical Center NPPES

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

SOUTHSIDE REGIONAL MEDICAL CENTER (NPI 1740303593) is a healthcare organization registered as a clinical medical laboratory in Petersburg, Virginia and active in the NPI registry since April 2007. The organization lists Paula M Lalor, Director/delegated Official, as its authorized official.

NPPES Registry Identity

NPI1740303593
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NamePETERSBURG HOSPITAL COMPANY LLC
Location Address200 MEDICAL PARK BLVDPetersburg, VA 23805
Mailing AddressPo Box 501128Saint Louis, MO 63150-0001 · (804) 862-5000
Fax(804) 765-5962
Organization SubpartNo
Authorized OfficialPaula M LalorDirector/delegated Official · (615) 925-4565
Enumeration DateApril 9, 2007
Last NPPES UpdateAugust 3, 2017
NPI 1740303593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
License Licensed in VA · H1905
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.
200 MEDICAL PARK BLVD, Petersburg, VA 23805

Other Names 1

Doing Business AsSouthside Regional Medical Center

Other Identifiers 2

Medicare ID-Type Unspecified490067VA
Other142853VA · Bl Cr Ind Lab Prov Number

Other Providers at the Same Location NPPES 20

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

Student in an Organized Health Care Education/Training Program
200 MEDICAL PARK BLVD
PETERSBURG, VA 23805
Physician Assistant
200 MEDICAL PARK BLVD
PETERSBURG, VA 23805
Internal Medicine
200 MEDICAL PARK BLVD
PETERSBURG, VA 23805
Physician Assistant
200 MEDICAL PARK BLVD
PETERSBURG, VA 23805
Emergency Medicine
200 MEDICAL PARK BLVD
PETERSBURG, VA 23805
Emergency Medicine
200 MEDICAL PARK BLVD, EMERGENCY DEPARTMENT
PETESBURG, VA 23805
Nurse Anesthetist, Certified Registered
200 MEDICAL PARK BLVD, SOUTHSIDE REGIONAL MEDICAL CENTER
PETERSBURG, VA 23805
Student in an Organized Health Care Education/Training Program
200 MEDICAL PARK BLVD
PETERSBURG, VA 23805

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 Petersburg Hospital Company LLC's NPI number?

The NPI number for Petersburg Hospital Company LLC is 1740303593. It was assigned to this organization in the NPPES registry on April 9, 2007. The provider is doing business as Southside Regional Medical Center.

Where is Petersburg Hospital Company LLC located?

Petersburg Hospital Company LLC is located at 200 Medical Park Blvd, Petersburg, VA 23805. The listed phone number is (804) 765-5000.

What is Petersburg Hospital Company LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Petersburg Hospital Company LLC was last updated on August 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.