Organization Active NPI

Medtest Group LLC

  • Clinical Medical Laboratory
  • Wilson, NC
National Provider Identifier
1609660927
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MEDTEST GROUP LLC
Practice address
127 Goldsboro St S
Wilson, NC 27893-4903
Phone
(252) 710-0150
Fax
(980) 222-0226
NPI assigned
Apr 9, 2025
Last updated
Apr 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Authorized official

Name
Narsima Latisha HinesNPI 1750826749
Title
Owner
Phone
(252) 710-0150

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

127 Goldsboro St S
Wilson, NC 27893-4903

Mailing address

127 Goldsboro St S
Wilson, NC 27893-4903
Phone (252) 710-0150

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1744156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744156800000",
    "number": "1609660927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 GOLDSBORO ST S",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278934903",
            "telephone_number": "252-710-0150",
            "fax_number": "980-222-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 GOLDSBORO ST S",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278934903",
            "telephone_number": "252-710-0150",
            "fax_number": "980-222-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDTEST GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-09",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A",
        "authorized_official_last_name": "HINES",
        "authorized_official_first_name": "NARSIMA",
        "authorized_official_middle_name": "LATISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-710-0150"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.