Xact Laboratories, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

XACT LABORATORIES, LLC

Practice address

8285 Darrow Rd
Suite 102-1
Twinsburg, OH 44087-2307

Phone

(216) 956-0957

NPI assigned

May 26, 2016

Organization subpart

No

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

Authorized official

Name

Jerry Wrobel

Title

Managing Member

Phone

(216) 956-0957

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464220800000",
    "number": "1427406776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8285 DARROW RD",
            "address_2": "SUITE 102-1",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "440872307",
            "telephone_number": "216-956-0957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8285 DARROW RD",
            "address_2": "SUITE 102-1",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "440872307",
            "telephone_number": "216-956-0957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XACT LABORATORIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-26",
        "last_updated": "2016-05-26",
        "status": "A",
        "authorized_official_last_name": "WROBEL",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "216-956-0957"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shantina Woods
• Tanya Lavaughn Wooten-Malone, CDCA
• London Worthy
• Jamie Lee Wright
• Kayli Wright, COTA/L
• Curtis James Yovichin, MD
• Shelby Nicole Zackaroff, D.C., M.S.
• Holly Zager, LISW
• Manling Zhuo
• Alisa Zwick, CDCA, PRS

• Clinical Medical Laboratory in Twinsburg, OH
• Providers in Twinsburg, OH by specialty
• Clinical Medical Laboratory in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.