Organization Active NPI

Four Corners Testing LLC

  • Clinic/Center
  • Charlotte, NC
National Provider Identifier
1376258665
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
FOUR CORNERS TESTING LLC
Practice address
301 S McDowell Street, Suite 125 - 1652
Charlotte, NC 28204
Phone
(704) 802-2258
NPI assigned
Jan 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Authorized official

Name
Bryan Jones
Title
Principal
Phone
(704) 802-2258

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

301 S McDowell Street, Suite 125 - 1652
Charlotte, NC 28204

Mailing address

14150 NE 20TH St # F1-282
Bellevue, WA 98007-3700

National Provider Directory

National Provider Directory

Locations

14150 NE 20th St
#F1282
Bellevue, WA 98007
Phone (410) 538-2691

NPI Registry JSON

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

{
    "created_epoch": "1674172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674518400000",
    "number": "1376258665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14150 NE 20TH ST # F1-282",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S MCDOWELL STREET, SUITE 125 - 1652",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28204",
            "telephone_number": "704-802-2258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR CORNERS TESTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-20",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "704-802-2258"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jan 24, 2023; 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.