Tiffani Beauregard, RN

Individual provider Active NPI Clinical Medical Laboratory · Cornelius, NC

NPI 1477224541 · NPPES record last updated Sep 27, 2021

Key facts

NPI
1477224541
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Medical Laboratory 291U00000X
Practice address
10708 Trolley Run Dr
Cornelius, NC 28031-9387
Phone
(216) 548-0851
NPI assigned
Sep 27, 2021
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Lab Metrics LLC Clinical Medical Laboratory Current
since Nov 9, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Yes

Addresses

Primary practice location

10708 Trolley Run Dr
Cornelius, NC 28031-9387

Mailing address

10708 Trolley Run Dr
Cornelius, NC 28031-9387

Other providers in Cornelius, NC

All providers in Cornelius, NC · Clinical Medical Laboratory in North Carolina

Sources for this page

Verify at the official NPI Registry.