Wilkesboro Clinical Lab LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

34D0958992 Issued in NC

Legal business name

WILKESBORO CLINICAL LAB LLC

Practice address

1201 School St
Suite a
Wilkesboro, NC 28697-2629

Phone

(336) 838-7609

Fax

(336) 838-7807

NPI assigned

Aug 1, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Louis F Curte

Title

Owner

Phone

(336) 838-7609

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Wilkesboro Clinical Lab LLC Other name

Locations

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272412800000",
    "number": "1023024643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 SCHOOL ST",
            "address_2": "SUITE A",
            "city": "WILKESBORO",
            "state": "NC",
            "postal_code": "286972629",
            "telephone_number": "336-838-7609",
            "fax_number": "336-838-7807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 SCHOOL ST",
            "address_2": "SUITE A",
            "city": "WILKESBORO",
            "state": "NC",
            "postal_code": "286972629",
            "telephone_number": "336-838-7609",
            "fax_number": "336-838-7807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILKESBORO CLINICAL LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2010-04-28",
        "status": "A",
        "authorized_official_last_name": "CURTE",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-838-7609",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NC",
            "license": "34D0958992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA LICENSE",
            "identifier": "34D0958992",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7001175",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilkesboro Clinical Lab LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Clinical Medical Laboratory in Wilkesboro, NC
• Providers in Wilkesboro, 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 Apr 28, 2010; 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.