Organization Active NPI

Exceptional Lab Solutions, LLC

  • Clinical Laboratory Director (Non-physician)
  • Huntersville, NC
National Provider Identifier
1164173589
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Laboratory Director (Non-physician)Taxonomy code 247ZC0005X
Legal business name
EXCEPTIONAL LAB SOLUTIONS, LLC
Practice address
16507A Northcross Dr Ste 108
Huntersville, NC 28078-5081
Phone
(809) 585-6531
NPI assigned
Jan 17, 2022
Last updated
May 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Authorized official

Name
Ms. Tanya Reid, LPNNPI 1942971486
Title
Ceo
Phone
(980) 777-4502

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 Laboratory Director (Non-physician) 247ZC0005X NU Primary

Addresses

Primary practice location

16507A Northcross Dr Ste 108
Huntersville, NC 28078-5081

Mailing address

16507A Northcross Dr Ste 108
Huntersville, NC 28078-5081
Phone (980) 585-6531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220330002515 NC Part B Supplier - Mass Immunization (Roster Biller Only) 5799171799 Practice locations: Charlotte, NC

National Provider Directory

National Provider Directory

Locations

16507 Northcross Dr
Ste 108
Huntersville, NC 28078
Phone (704) 282-8976

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1642377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684108800000",
    "number": "1164173589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16507A NORTHCROSS DR STE 108",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785081",
            "telephone_number": "980-585-6531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16507A NORTHCROSS DR STE 108",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785081",
            "telephone_number": "809-585-6531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEPTIONAL LAB SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-17",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "980-777-4502",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "247ZC0005X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.