NPIMap

Organization Active NPI

Iqlabtests LLC

  • Clinical Medical Laboratory
  • Concord, NC
National Provider Identifier
1649938895
Registry record updated May 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
IQLABTESTS LLC
Practice address
960 Copperfield Blvd NE
Concord, NC 28025-2433
Phone
(614) 893-3137
Fax
(704) 479-6665
NPI assigned
Dec 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2022

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

Authorized official

Name
Srikanth Vedamoorthy
Title
President
Phone
(614) 893-3137

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X
Federal Public Health Clinic/Center 261QP0904X
State or Local Public Health Clinic/Center 261QP0905X
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

960 Copperfield Blvd NE
Concord, NC 28025-2433

Mailing address

559 Elizabeth Lee Dr NW
Concord, NC 28027-6576
Phone (614) 893-3137

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1638748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651881600000",
    "number": "1649938895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 ELIZABETH LEE DR NW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280276576",
            "telephone_number": "614-893-3137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 COPPERFIELD BLVD NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252433",
            "telephone_number": "614-893-3137",
            "fax_number": "704-479-6665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IQLABTESTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-06",
        "last_updated": "2022-05-07",
        "certification_date": "2022-02-18",
        "status": "A",
        "authorized_official_last_name": "VEDAMOORTHY",
        "authorized_official_first_name": "SRIKANTH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-893-3137"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP0904X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, Federal",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "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 Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2022; 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.