Allstar Express Diagnostic

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ALLSTAR EXPRESS DIAGNOSTIC

Practice address

25701 N Lakeland Blvd Ste 301
Euclid, OH 44132-2452

Phone

(216) 527-4528

Fax

(216) 862-1007

NPI assigned

Feb 1, 2022

Organization subpart

No

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

Authorized official

Name

Charnita HairstonNPI 1417649203

Title

Ceo

Phone

(216) 527-4528

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charnita Hairston

  • Case Manager/Care Coordinator
  • Cleveland Heights, OH
  • NPI 1417649203
  NPD Authorized official

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643673600000",
    "number": "1467105296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25701 N LAKELAND BLVD STE 301",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441322452",
            "telephone_number": "216-527-4528",
            "fax_number": "216-862-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25701 N LAKELAND BLVD STE 301",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441322452",
            "telephone_number": "216-527-4528",
            "fax_number": "216-862-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLSTAR EXPRESS DIAGNOSTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A",
        "authorized_official_last_name": "HAIRSTON",
        "authorized_official_first_name": "CHARNITA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "216-527-4528"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Euclid, OH
• Providers in Euclid, 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 Feb 1, 2022; 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.