SOUTHSIDE REGIONAL MEDICAL CENTER – NPI #1013070325
Clinical Medical Laboratory

(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.

SOUTHSIDE REGIONAL MEDICAL CENTER is a clinical medical laboratory located in COLONIAL HEIGHTS, VA. NPPES has assigned the NPI number 1013070325 to SOUTHSIDE REGIONAL MEDICAL CENTER on December 18, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SOUTHSIDE REGIONAL MEDICAL CENTER” is a dba name, the actual legal business name for this organization is PETERSBURG HOSPITAL COMPANY LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 291U00000X from the Health Care Provider Taxonomy code set, which is classified as Clinical Medical Laboratory.

The NPI profile was previously updated about 9 years ago on Aug 03, 2017. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTHSIDE REGIONAL MEDICAL CENTER below.

NPI Profile for
PETERSBURG HOSPITAL COMPANY LLC

NPI Number
1013070325
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PETERSBURG HOSPITAL COMPANY LLC
Doing Business As (dba): SOUTHSIDE REGIONAL MEDICAL CENTER
Primary location
436 CLAIRMONT COURT
COLONIAL HEIGHTS, VA 23834
Phone: (804) 862-5000 Fax:
Mailing address
PO BOX 501128
ST LOUIS, MO 63150
Phone: (804) 765-5000 Fax: (804) 765-5962
Organization Subpart
No
Authorized Official
PAULA LALOR
DIRECTOR/DELEGATED OFFICIAL
Phone: (615) 925-4565
Updated
Identifiers

Identifiers for SOUTHSIDE REGIONAL MEDICAL CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERANTHEM BCBS PT LAB RADIOVA138348
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
291U00000X
- Clinical Medical Laboratory (Primary)
261QR0200X
- Clinic/Center / Radiology

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.