Bostwick Laboratories, Inc.
Bostwick Laboratories, Inc. is a healthcare organization registered as Clinical Medical Laboratory in Glen Allen, VA, holding Type 2 (organization) NPI 1124051644 since 2006. The authorized official on file is Martin Stefanelli, Ceo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1124051644 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Bostwick Laboratories, Inc. |
| Practice address | 4355 INNSLAKE DR, Glen Allen, VA, 23060 |
| Phone | 8049679225 |
| Fax | 8042391954 |
| Enumeration date | 2006-07-08 |
| Last updated in NPPES | 2013-03-29 |
Authorized official
| Name | Martin Stefanelli |
|---|---|
| Title | Ceo |
| Phone | 5165125200 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000265139 | Other | OH | UNISON HEALTH (OH MEDICAID HMO) |
| 036874800 | Other | DC | MEDICAID (ACS) |
| 036874800 | Medicaid | DC | — |
| 0421311 | Medicaid | MT | — |
| 1009021320002 | Medicaid | PA | — |
| 120124700 | Medicaid | WY | — |
| 138056 | Other | VA | ANTHEM BCBS OF VIRGINIA |
| 164040101 | Medicaid | TX | — |
| 200024720A | Medicaid | OK | — |
| 32287232 | Medicaid | CO | — |
| 440615 | Medicaid | AZ | — |
| 82083339 | Medicaid | NM | — |
| 01837399 | Medicaid | MS | — |
| 100503849 | Medicaid | NV | — |
| 1198722 | Medicaid | LA | — |
| 32940800 | Medicaid | WI | — |
| 8069026 | Medicaid | ID | — |
| 010062811 | Medicaid | VA | — |
| 0578229 | Medicaid | IA | — |
| 152979709 | Medicaid | AR | — |
Copy-ready billing details
Provider: Bostwick Laboratories, Inc. NPI: 1124051644 Taxonomy: 291U00000X (Clinical Medical Laboratory) Address: 4355 INNSLAKE DR, Glen Allen, VA, 23060
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1700989860 | Tita Lamm | Individual | Anatomic Pathology & Clinical Pathology Physician | Glen Allen, VA |
| 1043303910 | Deloar Hossain | Individual | Anatomic Pathology & Clinical Pathology Physician | Glen Allen, VA |
| 1710294954 | Fatemeh Kalantarpour | Individual | Hematology (Pathology) Physician | Glen Allen, VA |
Verify this record
Cross-check NPI 1124051644 against the authoritative CMS record: view Bostwick Laboratories, Inc. on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Bostwick Laboratories, Inc. located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2013-03-29.