Organization Active NPI

Tru Labs Diagnostics LLC

  • Medical Laboratory Technician
  • Charlotte, NC
National Provider Identifier
1356948426
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Laboratory TechnicianTaxonomy code 246RM2200X
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

Updated by the provider on Oct 2, 2020

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)CodeLicenseStatePrimary
Medical Laboratory TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

TypeEndpointUseAffiliation
CONNECT URL INFO@TRULABSDX.COM Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210407002742 NC Part B Supplier - Mass Immunization (Roster Biller Only) 8628485778 Practice locations: Charlotte, NC

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.