Organization Active NPI

Bpolloni Consulting

  • Clinical Medical Laboratory
  • Charlotte, NC
National Provider Identifier
1063945582
Registry record updated Apr 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
BPOLLONI CONSULTING
Practice address
11709 Fruehauf Drive
Suite 105 & 106
Charlotte, NC 28273
Phone
(404) 276-1981
NPI assigned
Apr 11, 2017
Last updated
Apr 11, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2017

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

Authorized official

Name
Breeanna HarrisNPI 1710410238
Title
Owner
Phone
(404) 276-1981

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NC Primary

Addresses

Primary practice location

11709 Fruehauf Drive
Suite 105 & 106
Charlotte, NC 28273

Mailing address

11709 Fruehauf Dr Ste 105&106
Charlotte, NC 28273-6507
Phone (404) 276-1981

National Provider Directory

National Provider Directory

Locations

11709 Fruehauf Dr
Ste 105106
Charlotte, NC 28273

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491868800000",
    "number": "1063945582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11709 FRUEHAUF DR STE 105&106",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282736507",
            "telephone_number": "404-276-1981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11709 FRUEHAUF DRIVE",
            "address_2": "SUITE 105 & 106",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28273",
            "telephone_number": "404-276-1981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BPOLLONI CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-11",
        "last_updated": "2017-04-11",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "BREEANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-276-1981"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; 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.