Solomon'S Laboratory and Genetic Testing, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SOLOMON'S LABORATORY AND GENETIC TESTING, LLC

Practice address

2881 N Cannon Blvd
Kannapolis, NC 28083-9124

Phone

(412) 304-6235

NPI assigned

Oct 11, 2023

Organization subpart

No

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

Authorized official

Name

Camille Humphries

Title

Ceo/President

Phone

(412) 304-6235

Specialties & licenses 1

Addresses

Other names 1

• Solomon's Laboratory and Genetic Testing, LLC Former legal business name

Locations

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

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1104607670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2881 N CANNON BLVD",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280839124",
            "telephone_number": "412-304-6235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2881 N CANNON BLVD",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280839124",
            "telephone_number": "412-304-6235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLOMON'S LABORATORY AND GENETIC TESTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-11",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-07",
        "status": "A",
        "authorized_official_last_name": "HUMPHRIES",
        "authorized_official_first_name": "CAMILLE",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "412-304-6235"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Solomon's Laboratory and Genetic Testing, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Sharon Denise Smith, RN
• Wesley Joshua Smith Sr., RBT
• Carrie Anne Smithson, RN, BSN
• Rachel Snyder, PHARMD
• Anette Solmaz, WHNP
• Jacqueline B Sonceau, DDS
• Laquanya Leanne Spann
• Shakeena Yvette Speller, LCSW, LCAS
• Felicia Stanback
• Kalyani Vellanki Starr, D.D.S.

• Clinic/Center in Kannapolis, NC
• Providers in Kannapolis, NC by specialty
• Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.