Zengliu Su, DABCC

Primary specialty

Clinical Laboratory Director (Non-physician)Taxonomy code 247ZC0005X

License

SUXXZ1 Issued in NY

Practice address

486 Gallimore Dairy Rd
Greensboro, NC 27409-9725

Phone

(336) 387-7642

Fax

(336) 387-7601

NPI assigned

Dec 1, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ameritox, LLC

  • Clinical Medical Laboratory
  • Greensboro, NC
  • NPI 1245561349
  NPD (past)

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417392000000",
    "number": "1215334669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "486 GALLIMORE DAIRY RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274099725",
            "telephone_number": "336-387-7642",
            "fax_number": "336-387-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "486 GALLIMORE DAIRY RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274099725",
            "telephone_number": "336-387-7642",
            "fax_number": "336-387-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SU",
        "first_name": "ZENGLIU",
        "name_prefix": "Dr.",
        "credential": "DABCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-01",
        "last_updated": "2014-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247ZC0005X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": "NY",
            "license": "SUXXZ1",
            "primary": true
        },
        {
            "code": "247ZC0005X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": "NJ",
            "license": "25MS00016100",
            "primary": false
        },
        {
            "code": "247ZC0005X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": "NV",
            "license": "33537DIR-0",
            "primary": false
        },
        {
            "code": "247ZC0005X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": "FL",
            "license": "DI 45675",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia S Stump
• Brittany Sturdivant
• Tyler David Stutzman, MD
• Su Wooi Teoh MD PA
• Bailey Stephanie Su, M.D.
• Joseph Jonathan Suarez, P.A.
• Michelle Bennett Suber, MS, RD, LDN
• Tiffany Suber, NURSE PRACTITIONER
• Rachel Emily Suberman
• Substance Abuse Treatment Labs, LLC

• Clinical Laboratory Director (Non-physician) in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Clinical Laboratory Director (Non-physician) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; 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.