Individual provider Active NPI

Myla P Lai-Goldman, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Burlington, NC
National Provider Identifier
1386839975
Registry record updated Sep 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
39294 Issued in NC
Practice address
128 Maple Ave
Laboratory Corporation of America
Burlington, NC 27215-5847
Phone
(336) 436-5052
Fax
(336) 436-1059
NPI assigned
Sep 7, 2007
Last updated
Sep 7, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 39294 NC Primary

Addresses

Primary practice location

128 Maple Ave
Laboratory Corporation of America
Burlington, NC 27215-5847

Mailing address

128 Maple Ave
Laboratory Corporation of America
Burlington, NC 27215-5847
Phone (336) 436-5052

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
39294NCMDAnatomic Pathology & Clinical Pathology Physician

NPI Registry JSON

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189123200000",
    "number": "1386839975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 MAPLE AVE",
            "address_2": "LABORATORY CORPORATION OF AMERICA",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272155847",
            "telephone_number": "336-436-5052",
            "fax_number": "336-436-1059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 MAPLE AVE",
            "address_2": "LABORATORY CORPORATION OF AMERICA",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272155847",
            "telephone_number": "336-436-5052",
            "fax_number": "336-436-1059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAI-GOLDMAN",
        "first_name": "MYLA",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-07",
        "last_updated": "2007-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NC",
            "license": "39294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; 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.