Covilab

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

COVILAB

Practice address

325 E 9TH St
Charlotte, NC 28202-2551

Phone

(770) 946-6750

NPI assigned

Nov 18, 2021

Last updated

Feb 17, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ronelle Brockington

Title

Covilab Owner

Phone

(770) 946-6750

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645056000000",
    "number": "1063179620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2306 BROAD DR",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295056108",
            "telephone_number": "770-946-6750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 E 9TH ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282022551",
            "telephone_number": "770-946-6750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVILAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-18",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A",
        "authorized_official_last_name": "BROCKINGTON",
        "authorized_official_first_name": "RONELLE",
        "authorized_official_title_or_position": "COVILAB OWNER",
        "authorized_official_telephone_number": "770-946-6750",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Charlotte, NC
• Providers in Charlotte, 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 Feb 17, 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.