Triad Reference Laboratory, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

TRIAD REFERENCE LABORATORY, LLC

Practice address

201 N Front St Ste Ll101
Wilmington, NC 28401-0009

Phone

(336) 202-5318

NPI assigned

Dec 10, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David Bolton, LPCNPI 1427101617

Title

Owner

Phone

(336) 202-5318

Specialties & licenses 1

Addresses

Other names 1

• Triad Reference Laboratory, LLC Former legal business name

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Bolton, M.ED., LPC

  • Mental Health Counselor
  • Wilmington, NC
  • NPI 1427101617
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1639094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1003575671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N FRONT ST STE LL101",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284010009",
            "telephone_number": "336-202-5318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N FRONT ST STE LL101",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284010009",
            "telephone_number": "336-202-5318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIAD REFERENCE LABORATORY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-10",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A",
        "authorized_official_last_name": "BOLTON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-202-5318",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WILMINGTON",
            "affiliation": "N",
            "endpointDescription": "TRIAD REFERENCE LAB LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "WILMINGTON NC 28401",
            "address_1": "201 N Front St Ste L101",
            "city": "Wilmington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284014055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Triad Reference Laboratory, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Triad Reference Laboratory, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Wendy E. Trenery, CRNA
• Antione J Trent, LCSW, PA
• Kayla Trevethan, LCSWA
• Hannah Christine Tria, P.A.-C
• Triad Behavioral Resources PC
• Triangle Home Health Care, Inc
• Khadijia D Tribie, MD
• Kathleen Ann Trickle, PSY.D.
• Julia Douglas Triggs, MD
• Trilogy Services, Inc.

• Clinical Medical Laboratory in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Clinical Medical Laboratory in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.