Solstas Lab Partners Group LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

01D1015388 Issued in AL

Legal business name

SOLSTAS LAB PARTNERS GROUP LLC

Practice address

2732 7TH Ave S
Birmingham, AL 35233-3406

Phone

(205) 313-1240

Fax

(205) 313-1250

NPI assigned

May 11, 2006

Last updated

Apr 24, 2017By the provider in NPPES

Organization subpart

Yes

Parent organization

QUEST DIAGNOSTICS INCORPORATEDAs reported in NPPES

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

Authorized official

Name

Wilson R Conde

Title

Vice President

Phone

(973) 520-2911

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Southern Diagnostic Laboratories, LLC Former legal business name

Tax ID family

Solstas Lab Partners Group LLC2 organizations share this tax ID, including this one

Part of

Corning Lab Servicesinc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Solstas Lab Partners Group LLC

  • Clinical Medical Laboratory
  • Roanoke, VA
  • NPI 1659831691
  NPD tax ID

Locations

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492992000000",
    "number": "1407806144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S COLLEGEVILLE RD",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194262998",
            "telephone_number": "610-454-6146",
            "fax_number": "484-676-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2732 7TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352333406",
            "telephone_number": "205-313-1240",
            "fax_number": "205-313-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLSTAS LAB PARTNERS GROUP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "QUEST DIAGNOSTICS INCORPORATED",
        "enumeration_date": "2006-05-11",
        "last_updated": "2017-04-24",
        "status": "A",
        "authorized_official_last_name": "CONDE",
        "authorized_official_first_name": "WILSON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "973-520-2911"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "AL",
            "license": "12279",
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "AL",
            "license": "01D1015388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051554061",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL PROVIDER NUMBE",
            "identifier": "51517309",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Diagnostic Laboratories, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Charles P Solomon Jr., M.D.
• Cheryl Raemie Solomon, DPT
• George Solomon
• Stan Solomon
• Anna Solomonik, MD
• Solutions Infusion Therapy (M&O Enterprises, LLC)
• Tone Solvik-Olsen, MD
• Sana Somani, M.D.
• D'Ann Wilson Somerall, CRNP
• Margaret R Somerall, M.D.

• Clinical Medical Laboratory in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Clinical Medical Laboratory in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; 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.