Acemuy Specimen Collection, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

503528 Issued in KS

Legal business name

ACEMUY SPECIMEN COLLECTION, LLC

Practice address

201 S Main St
Warrenton, NC 27589-1931

Phone

(252) 213-6944

Fax

(252) 257-3172

NPI assigned

Sep 28, 2010

Last updated

Sep 28, 2010By 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

Mrs. Tara C Kennerly

Title

President

Phone

(252) 213-6944

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285632000000",
    "number": "1093024879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S MAIN ST",
            "city": "WARRENTON",
            "state": "NC",
            "postal_code": "275891931",
            "telephone_number": "252-213-6944",
            "fax_number": "252-257-3172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S MAIN ST",
            "city": "WARRENTON",
            "state": "NC",
            "postal_code": "275891931",
            "telephone_number": "252-213-6944",
            "fax_number": "252-257-3172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACEMUY SPECIMEN COLLECTION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-28",
        "last_updated": "2010-09-28",
        "status": "A",
        "authorized_official_last_name": "KENNERLY",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-213-6944",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "KS",
            "license": "503528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Warrenton, NC
• Providers in Warrenton, 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 Sep 28, 2010; 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.