Organization Active NPI

Isoken Express Lab LLC

  • Clinical Medical Laboratory
  • Charlotte, NC
National Provider Identifier
1124792791
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
ISOKEN EXPRESS LAB LLC
Practice address
2801 Crisman St Ste 101E
Charlotte, NC 28208-3847
Phone
(704) 743-8392
Fax
(704) 559-3468
NPI assigned
Aug 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Authorized official

Name
Darryl D Byrd Jr.NPI 1104400779
Title
Owner
Phone
(704) 743-8392

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 Primary

Addresses

Primary practice location

2801 Crisman St Ste 101E
Charlotte, NC 28208-3847

Mailing address

2801 Crisman St Ste 101E
Charlotte, NC 28208-3847
Phone (704) 743-8392

National Provider Directory

National Provider Directory

Locations

2801 Crisman St
Ste 101E
Charlotte, NC 28208
Phone (704) 743-8392

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628121600000",
    "number": "1124792791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 CRISMAN ST STE 101E",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282083847",
            "telephone_number": "704-743-8392",
            "fax_number": "704-559-3468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 CRISMAN ST STE 101E",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282083847",
            "telephone_number": "704-743-8392",
            "fax_number": "704-559-3468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISOKEN EXPRESS LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-05",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A",
        "authorized_official_last_name": "BYRD",
        "authorized_official_first_name": "DARRYL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-743-8392",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "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 Aug 5, 2021; 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.