Keystone Laboratories, Inc.

Key facts

NPI

1104258995

Entity type

Organization (NPI type 2)

Primary specialty

Clinical Medical Laboratory 291U00000X

License

34D0929194 (NC)

Legal business name

KEYSTONE LABORATORIES, INC.

Practice address

3 McDowell St
Asheville, NC 28801-4103

Phone

(828) 255-0307

Fax

(828) 255-0423

NPI assigned

Aug 2, 2013

Organization subpart

No

Authorized official

Name

James Wolfe

Title

Ceo

Phone

(828) 255-0307

Practitioners 1

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

• John Fisher III Clinical Laboratory Director (Non-physician) · Asheville, NC · NPI 1114319787
  NPD (past)

Laboratory certificates & supplier records

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

CLIA laboratory certificates

Medicare participation

Medicare fee-for-service enrollment

Enrolled in NC

Medicare enrollment records

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 2, 2013.

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375401600000",
    "number": "1104258995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MCDOWELL ST",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014103",
            "telephone_number": "828-255-0307",
            "fax_number": "828-255-0423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MCDOWELL ST",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014103",
            "telephone_number": "828-255-0307",
            "fax_number": "828-255-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE LABORATORIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-02",
        "last_updated": "2013-08-02",
        "status": "A",
        "authorized_official_last_name": "WOLFE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "828-255-0307"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NC",
            "license": "34D0929194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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