Active NPI
Four Corners Testing LLC
- Clinic/Center
- Charlotte, NC
National Provider Identifier
1376258665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.