Lab Innovations PLLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

LAB INNOVATIONS PLLC

Practice address

1008 Union Rd Ste B
Gastonia, NC 28054-5590

Phone

(704) 671-2261

NPI assigned

Jun 9, 2021

Organization subpart

No

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

Authorized official

Name

Raven Diana Montgomery, RN

Title

Co-Owner

Phone

(704) 671-2261

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Raven Diana Little, RN

  • Registered Nurse
  • Gastonia, NC
  • NPI 1467959858
  NPD

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

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623196800000",
    "number": "1063089712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 UNION RD STE B",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280545590",
            "telephone_number": "704-671-2261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 UNION RD STE B",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280545590",
            "telephone_number": "704-671-2261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAB INNOVATIONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-09",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "RAVEN",
        "authorized_official_middle_name": "DIANA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "704-671-2261",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lydia E Kurtz, MSW, LCSWA
• Teresa Grace Kurtz
• Adam Seth Kurtzman, LPC
• Sarah Kwawu, L-CAT
• L&L Therapy Services, LLC
• Laboratory Corporation of America Holdings
• Laboroatory Corporation of America Holdings
• Jeffrey David Labrecque, PT, DPT
• Brian Mitchel Lackey, RN
• Desiree Morrell Lackey, M.S., C.A.S., LPC-A

• Clinical Medical Laboratory in Gastonia, NC
• Providers in Gastonia, 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 Jun 9, 2021; 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.