ML Clinical Labs LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ML CLINICAL LABS LLC

Practice address

5540 Centerview Dr Ste 204
Raleigh, NC 27606-8012

Phone

(704) 300-6661

NPI assigned

Jul 19, 2023

Last updated

Jul 19, 2023By 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

Damarcus Miller

Title

Business Owner/Ceo

Phone

(704) 300-6661

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

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

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689724800000",
    "number": "1104506807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1952 JOSEPHINE ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152032063",
            "telephone_number": "704-300-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5540 CENTERVIEW DR STE 204",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276068012",
            "telephone_number": "704-300-6661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ML CLINICAL LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-19",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DAMARCUS",
        "authorized_official_title_or_position": "BUSINESS OWNER/CEO",
        "authorized_official_telephone_number": "704-300-6661"
    },
    "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 Raleigh, NC
• Providers in Raleigh, 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 Jul 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.