Guardian Rapid Lab Testing LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

GUARDIAN RAPID LAB TESTING LLC

Practice address

101 Forest Dr Ste B
Knightdale, NC 27545-9603

Phone

(984) 275-9863

NPI assigned

Oct 31, 2023

Organization subpart

No

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

Authorized official

Name

Gennetta Nelson, RN

Title

Owner

Phone

(984) 275-9863

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": "1698710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1194598219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 FOREST DR STE B",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275459603",
            "telephone_number": "984-275-9863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 FOREST DR STE B",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275459603",
            "telephone_number": "984-275-9863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN RAPID LAB TESTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-31",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-29",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "GENNETTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "984-275-9863",
        "authorized_official_credential": "RN"
    },
    "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 Knightdale, NC
• Providers in Knightdale, 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 Oct 31, 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.