Express Test Charlotte

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

EXPRESS TEST CHARLOTTE

Practice address

227 W 4TH St # 318
Charlotte, NC 28202-1545

Phone

(980) 288-4099

NPI assigned

Jul 27, 2022

Organization subpart

No

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

Authorized official

Name

Lisa M Wilkinson

Title

Supervisor

Phone

(317) 710-0354

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658880000000",
    "number": "1245966829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 S CHURCH ST APT 1905",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282023321",
            "telephone_number": "317-710-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 W 4TH ST # 318",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282021545",
            "telephone_number": "980-288-4099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS TEST CHARLOTTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-27",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A",
        "authorized_official_last_name": "WILKINSON",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "317-710-0354"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "34D2258491",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@expresstestclt.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "525 S Church St",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282021825",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@expresstestclt.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "227 W 4th St # 318",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282021545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Expedia Medical Supplies
• Expedient Medical Transport
• Expert Care at Home
• Expert of Lived Experience LLC
• Express Med LLC
• Express Transit
• Exqu
• Extended Care of Charlotte Inc.
• Extended Family Residences, LLC
• Extraordinary Home Care LLC

• Clinical Medical Laboratory in Charlotte, NC
• Providers in Charlotte, 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 Jul 27, 2022; 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.