Organization Active NPI

Crystal Clear Results LLC

  • Clinical Medical Laboratory
  • Jacksonville, NC
National Provider Identifier
1023965738
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
CRYSTAL CLEAR RESULTS LLC
Practice address
730 Court St Ste B
Jacksonville, NC 28540-4814
Phone
(866) 476-8656
Fax
(866) 476-8656
NPI assigned
Mar 12, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Authorized official

Name
Crystal Gill, GILL
Title
Owner
Phone
(910) 378-6662

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

730 Court St Ste B
Jacksonville, NC 28540-4814

Mailing address

730 Court St Ste B
Jacksonville, NC 28540-4814
Phone (866) 476-8656

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2339117Crystal Clear Results730 Court St Ste B, Jacksonville, NC 28540Certificate of waiverFeb 23, 2028

National Provider Directory

National Provider Directory

Locations

730 Court St
Ste B
Jacksonville, NC 28540
Phone (866) 476-8656

NPI Registry JSON

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

{
    "created_epoch": "1773273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773273600000",
    "number": "1023965738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 COURT ST STE B",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285404814",
            "telephone_number": "866-476-8656",
            "fax_number": "866-476-8656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 COURT ST STE B",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285404814",
            "telephone_number": "866-476-8656",
            "fax_number": "866-476-8656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL CLEAR RESULTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-12",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-378-6662",
        "authorized_official_credential": "GILL"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.