Queen City Diagnostics LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

QUEEN CITY DIAGNOSTICS LLC

Practice address

300 Billingsley Rd Ste 107
Charlotte, NC 28211-1084

Phone

(786) 942-2110

NPI assigned

Nov 14, 2017

Last updated

Nov 14, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David FaracheNPI 1700399656

Title

Owner

Phone

(786) 942-2110

Specialties & licenses 1

Addresses

Locations

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.

• David Farache

  • Clinical Medical Laboratory
  • Charlotte, NC
  • NPI 1700399656
  Authorized official Same address or phone

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510617600000",
    "number": "1326551276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BILLINGSLEY RD STE 107",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BILLINGSLEY RD STE 107",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111084",
            "telephone_number": "786-942-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEEN CITY DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-14",
        "last_updated": "2017-11-14",
        "status": "A",
        "authorized_official_last_name": "FARACHE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-942-2110"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Queen City Behavioral Health and Wellness
• Queen City Care Home
• Queen City Cocoa Beans Inc
• Queen City Compassionate Home Care Agency LLC
• Queen City Counseling & Consulting, PLLC
• Queen City Ear Nose and Throat PLLC
• Queen City Eye Center, O.D., PLLC
• Queen City Eye Surgery - South
• Queen City Foot and Ankle Specialists
• Queen City Gastroenterology & Hepatology, PC

• 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 Nov 14, 2017; 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.