Integrated Laboratory Solutions

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

34D2078779 Issued in NC

Legal business name

INTEGRATED LABORATORY SOLUTIONS

Practice address

7020 Kit Creek Rd Ste 240
Research Triangle Park, NC 27709-0008

Phone

(949) 662-9540

NPI assigned

Jul 7, 2014

Organization subpart

No

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

Authorized official

Name

Mushahed Khan

Title

Ceo

Phone

(949) 662-9540

Specialties & licenses 1

Addresses

Other names 1

• Lux Enterprise Doing business as

Medicare fee-for-service enrollment

Enrolled in NC, GA, SC3 enrollments

Enrollment records 3

Locations

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James E Taylor, MD

  • Anesthesiology Physician
  • Pinehurst, NC
  • NPI 1417990094
  NPD

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

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1588070940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 CORPORATE BLVD NE STE 250",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303291901",
            "telephone_number": "949-662-9540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7020 KIT CREEK RD STE 240",
            "city": "RESEARCH TRIANGLE PARK",
            "state": "NC",
            "postal_code": "277090008",
            "telephone_number": "949-662-9540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13 Corporate Blvd NE Ste 180",
            "address_purpose": "LOCATION",
            "city": "Brookhaven",
            "state": "GA",
            "postal_code": "303291906",
            "country_code": "US",
            "telephone_number": "949-662-9540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "695 S Bennett St",
            "address_purpose": "LOCATION",
            "city": "Southern Pines",
            "state": "NC",
            "postal_code": "283875919",
            "country_code": "US",
            "telephone_number": "949-662-9540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTEGRATED LABORATORY SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-07",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "MUSHAHED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-662-9540"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NC",
            "license": "34D2078779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lux Enterprise",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lux Enterprise",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Excel Home Health Inc
• Michael Raymond Fox, M.D.
• Tracy Futch, PH.D, M.S, CGC
• Joseph Patrick Horrigan, MD
• Integralabs, Inc.
• Catherine Isaac, M.D.
• Margaret Gould Johnson, M.D.
• Donna Lynn Keiran, M.D.
• Chantal Nicole Kelly, MS, CGC
• Laboratory Corporation of America Holdings

• All providers in Research Triangle Park, NC
• Clinical Medical Laboratory in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.

Verify at the official NPI Registry.