NPIMap

Organization Active NPI

Northern Hospital of Surry County

Doing business as Northern Regional Hospital Lab

  • Clinical Medical Laboratory
  • Mount Airy, NC
National Provider Identifier
1669008967
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
NORTHERN HOSPITAL OF SURRY COUNTY
Doing business as
Northern Regional Hospital Lab
Practice address
830 Rockford St
Mount Airy, NC 27030-5322
Phone
(336) 719-7134
NPI assigned
Mar 18, 2020
Last updated
Feb 3, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTHERN HOSPITAL OF SURRY COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Authorized official

Name
Robin Allen
Title
Director Central Billing
Phone
(336) 719-7129

Specialties & licenses 1

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

Addresses

Primary practice location

830 Rockford St
Mount Airy, NC 27030-5322

Mailing address

PO Box 1101
Mount Airy, NC 27030-1101
Phone (336) 719-7134

Other names 1

  • Northern Regional Hospital Lab Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D0017327Northern Regional Hospital Lab830 Rockford Street, Mount Airy, NC 27030AccreditationJan 2, 2027

National Provider Directory

National Provider Directory
Tax ID family
Northern Home Care13 organizations share this tax ID, including this one
Part of
Northern Home Care

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1584489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738540800000",
    "number": "1669008967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1101",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270301101",
            "telephone_number": "336-719-7134",
            "fax_number": "336-719-7199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 ROCKFORD ST",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270305322",
            "telephone_number": "336-719-7134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN HOSPITAL OF SURRY COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHERN HOSPITAL OF SURRY COUNTY",
        "enumeration_date": "2020-03-18",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "DIRECTOR CENTRAL BILLING",
        "authorized_official_telephone_number": "336-719-7129"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northern Regional Hospital Lab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northern Regional Hospital Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Airy, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.