Meridian Laboratory Corp

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

34D0999131 Issued in NC

Legal business name

MERIDIAN LABORATORY CORP

Practice address

2401 Whitehall Park Drive
Suite 700
Charlotte, NC 28273-3416

Phone

(704) 992-0708

Fax

(704) 749-2332

NPI assigned

May 31, 2005

Organization subpart

No

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

Authorized official

Name

Margie Sadler, MT(ASCP)

Title

Executive VP Operations

Phone

(704) 992-0708

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435276800000",
    "number": "1477556876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 WHITEHALL PARK DRIVE",
            "address_2": "SUITE 700",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282733416",
            "telephone_number": "704-992-0708",
            "fax_number": "704-749-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 WHITEHALL PARK DRIVE",
            "address_2": "SUITE 700",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282733416",
            "telephone_number": "704-992-0708",
            "fax_number": "704-749-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN LABORATORY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2015-06-26",
        "status": "A",
        "authorized_official_last_name": "SADLER",
        "authorized_official_first_name": "MARGIE",
        "authorized_official_title_or_position": "EXECUTIVE VP OPERATIONS",
        "authorized_official_telephone_number": "704-992-0708",
        "authorized_official_credential": "MT(ASCP)"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NC",
            "license": "34D0999131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7001198",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mercy Medical Clinic PA
• Mercy Restorative Care Hospital, Inc
• Mercy Restorative Care Hospital, Inc
• Meredith Home & Finance Center LLC
• Meridian Counseling Group PLLC
• Alexander Merkle
• Ann Morris Bailey Merline, PA
• William Henry Merlo, D.D.S.
• Nanyeli Merlos Rivera
• David E Mermelstein, PH.D.

• Clinical Medical Laboratory in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Medical Laboratory in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2015; 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.