Organization Active NPI

Blue Ridge Laboratories LLC

  • Clinical Medical Laboratory
  • Asheville, NC
National Provider Identifier
1023776648
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
BLUE RIDGE LABORATORIES LLC
Practice address
660 Merrimon Ave Ste E
Asheville, NC 28804-3567
Phone
(828) 774-5016
NPI assigned
Dec 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Authorized official

Name
Mr. Benjamin Wright
Title
Managing Partner
Phone
(864) 650-4641

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

660 Merrimon Ave Ste E
Asheville, NC 28804-3567

Mailing address

660 Merrimon Ave Ste E
Asheville, NC 28804-3567
Phone (828) 774-5016

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220412000158 NC Part B Supplier - Independent Clinical Laboratory 4183010531 Practice locations: Asheville, NC

National Provider Directory

National Provider Directory

Locations

410 Swannanoa River Rd
Asheville, NC 28805
Phone (828) 335-0210

573 Merrimon Ave
Asheville, NC 28804
Phone (828) 251-1478

NPI Registry JSON

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

{
    "created_epoch": "1638316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1023776648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 MERRIMON AVE STE E",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288043567",
            "telephone_number": "828-774-5016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 MERRIMON AVE STE E",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288043567",
            "telephone_number": "828-774-5016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE LABORATORIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-01",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "864-650-4641",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.