Direct Access Lab, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

34D2082931 Issued in NC

Legal business name

DIRECT ACCESS LAB, LLC

Practice address

4822 Albemarle Road
Suite 110
Charlotte, NC 28205-6621

Phone

(704) 631-9934

Fax

(704) 379-1824

NPI assigned

Nov 24, 2014

Last updated

Nov 24, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pauline S. Parker, RNNPI 1720641939

Title

Ceo

Phone

(704) 315-8277

Specialties & licenses 1

Addresses

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.

• Pauline Sylvia Parker, AGNP-C

  • Primary Care Nurse Practitioner
  • Charlotte, NC
  • NPI 1720641939
  NPD (past) Authorized official

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416787200000",
    "number": "1578960274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 S MINT ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282034629",
            "telephone_number": "704-315-8277",
            "fax_number": "704-379-1824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4822 ALBEMARLE ROAD",
            "address_2": "SUITE 110",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282056621",
            "telephone_number": "704-631-9934",
            "fax_number": "704-379-1824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECT ACCESS LAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-24",
        "last_updated": "2014-11-24",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "PAULINE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-315-8277",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NC",
            "license": "34D2082931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Joseph Dinome Jr., MD
• David Durant Dinsmore, CRNA
• James Dion, LPCA
• Christopher Diorio, DO
• Baylee R Dipietro
• Direct in Home Care
• Directcare Community Base Services,LLC
• Directional Care Community Services LLC.
• Directions to Discovery Inc
• Grace Dirks, MD

• 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 Nov 24, 2014; 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.