Individual provider Active NPI

Coretta Manley-Eure

  • Clinical Medical Laboratory
  • Hampton, VA
National Provider Identifier
1356272637
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Practice address
3007 W Mercury Blvd Ste 1038
Hampton, VA 23666-3930
Phone
(757) 319-1289
NPI assigned
May 26, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

3007 W Mercury Blvd Ste 1038
Hampton, VA 23666-3930

Mailing address

3007 W Mercury Blvd Ste 1038
Hampton, VA 23666-3930
Phone (757) 319-1289

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1779753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1356272637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3007 W MERCURY BLVD STE 1038",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236663930",
            "telephone_number": "757-319-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3007 W MERCURY BLVD STE 1038",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236663930",
            "telephone_number": "757-319-1289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANLEY-EURE",
        "first_name": "CORETTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-26",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; 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.