Active NPI
Celligent Diagnostics, LLC
- Clinical Medical Laboratory
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- CELLIGENT DIAGNOSTICS, LLC
- Practice address
- 6135 Lakeview Rd Ste 350
Charlotte, NC 28269-2627 - Phone
- (704) 549-8884
- Fax
- (704) 549-0559
- NPI assigned
- Jan 17, 2008
- Last updated
- Nov 18, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alfred W. Campbell, MD
- Title
- President
- Phone
- (704) 973-5500
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology Physician | 207ZP0101X | |||
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | |||
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
6135 Lakeview Rd Ste 350
Charlotte, NC 28269-2627
Mailing address
PO Box 96786
Charlotte, NC 28296-6786
Phone (704) 973-5500
Other practice location 1
106 Venture Blvd
Spartanburg, SC 29306-3805
Phone (864) 583-3850
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100306000248 | NC | Part B Supplier - Independent Clinical Laboratory | 3274619267 | Practice locations: Albemarle, NC; Shelby, NC; Monroe, NC; Lincolnton, NC; Elkin, NC; Charlotte, NC |
| O20180815001262 | SC | Part B Supplier - Independent Clinical Laboratory | 3274619267 | Practice locations: Spartanburg, SC |
National Provider Directory
National Provider DirectoryLocations
101 E Wt Harris Blvd
Ste 1212
Charlotte, NC 28262
Phone (704) 549-8444
2001 Vail Ave
Fl 3
Charlotte, NC 28207
Phone (704) 304-5988
1408 E Franklin St
Ste 1212
Monroe, NC 28112
Phone (704) 549-8444
Practitioners & affiliated clinicians
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Spartanburg, SC
- NPI 1982603015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731888000000",
"number": "1487830733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 96786",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282966786",
"telephone_number": "704-973-5500",
"fax_number": "704-973-5518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6135 LAKEVIEW RD STE 350",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282692627",
"telephone_number": "704-549-8884",
"fax_number": "704-549-0559"
}
],
"practiceLocations": [
{
"address_1": "106 Venture Blvd",
"address_purpose": "LOCATION",
"city": "Spartanburg",
"state": "SC",
"postal_code": "293063805",
"country_code": "US",
"telephone_number": "864-583-3850",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CELLIGENT DIAGNOSTICS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-17",
"last_updated": "2024-11-18",
"certification_date": "2024-11-18",
"status": "A",
"authorized_official_last_name": "CAMPBELL",
"authorized_official_first_name": "ALFRED",
"authorized_official_middle_name": "W.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "704-973-5500",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207ZP0101X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": null,
"license": null,
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
- Melissa J Celaya
- Celeste Brain Health PLLC (Celeste Neurology)
- Jennifer Celeste, MA
- Celestial Provisions: Therapy & Wellness, PLLC
- Celligent Diagnostics, LLC
- Zachary Cenfetelli, PHARMD
- Center for Cosmetic & Plastic Surgery
- Center for Counseling & Rehabilitation Services, LLC
- Center for Creativity & Healing, PC
- Center for Creativity and Healing
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.