Organization Active NPI

Prestige Lab Services LLC

  • Clinic/Center
  • Gastonia, NC
National Provider Identifier
1457164576
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PRESTIGE LAB SERVICES LLC
Practice address
1556 Union Rd Ste D
Gastonia, NC 28054-2208
Phone
(888) 302-2235
Fax
(980) 225-5270
NPI assigned
Jan 31, 2025
Last updated
Jan 31, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Authorized official

Name
Ms. Tameika Tate
Title
Owner
Phone
(888) 302-2235

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1556 Union Rd Ste D
Gastonia, NC 28054-2208

Mailing address

200 Stroupe Rd Ste C
Gastonia, NC 28056-8693
Phone (888) 302-2235

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1738281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738281600000",
    "number": "1457164576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 STROUPE RD STE C",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280568693",
            "telephone_number": "888-302-2235",
            "fax_number": "980-225-5270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1556 UNION RD STE D",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542208",
            "telephone_number": "888-302-2235",
            "fax_number": "980-225-5270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE LAB SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-31",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A",
        "authorized_official_last_name": "TATE",
        "authorized_official_first_name": "TAMEIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-302-2235",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; 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.