Active NPI
Tru Labs Diagnostics LLC
- Medical Laboratory Technician
- Charlotte, NC
National Provider Identifier
1356948426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Laboratory Technician
- Legal business name
- TRU LABS DIAGNOSTICS LLC
- Practice address
- 3626 Latrobe Dr Ste 300
Charlotte, NC 28211-1388 - Phone
- (704) 993-7388
- Fax
- (704) 247-5345
- NPI assigned
- Oct 2, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mia Tanee Hatten
- Title
- Owner
- Phone
- (704) 993-7388
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Laboratory Technician | 246RM2200X | Primary |
Addresses
Primary practice location
3626 Latrobe Dr Ste 300
Charlotte, NC 28211-1388
Mailing address
3626 Latrobe Dr Ste 300
Charlotte, NC 28211-1388
Phone (704) 993-7388
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | INFO@TRULABSDX.COM | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210407002742 | NC | Part B Supplier - Mass Immunization (Roster Biller Only) | 8628485778 | Practice locations: Charlotte, NC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1601596800000",
"number": "1356948426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3626 LATROBE DR STE 300",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282111388",
"telephone_number": "704-993-7388",
"fax_number": "704-247-5345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3626 LATROBE DR STE 300",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282111388",
"telephone_number": "704-993-7388",
"fax_number": "704-247-5345"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRU LABS DIAGNOSTICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-02",
"last_updated": "2020-10-02",
"certification_date": "2020-10-02",
"status": "A",
"authorized_official_last_name": "HATTEN",
"authorized_official_first_name": "MIA",
"authorized_official_middle_name": "TANEE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "704-993-7388"
},
"taxonomies": [
{
"code": "246RM2200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician, Pathology, Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "INFO@TRULABSDX.COM",
"affiliation": "N",
"endpointDescription": "BUSINESS EMAIL",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "EMAIL",
"address_1": "3626 Latrobe Dr Ste 300",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282111388",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.