Organization Active NPI

Labtree Bio-Reference, LLC

Doing business as LabTree Bio-Reference Laboratory

  • Clinical Medical Laboratory
  • Greenville, SC
National Provider Identifier
1669715801
Registry record updated Jun 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
42D2055497 Issued in SC
Legal business name
LABTREE BIO-REFERENCE, LLC
Doing business as
LabTree Bio-Reference Laboratory
Practice address
210 Brendan Way
Greenville, SC 29615-3515
Phone
(864) 325-9694
NPI assigned
Apr 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2015

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

Authorized official

Name
Thomas Andres Canipe
Title
Member
Phone
(864) 325-9694

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 42D2055497 SC Primary

Addresses

Primary practice location

210 Brendan Way
Greenville, SC 29615-3515

Mailing address

210 Brendan Way
Greenville, SC 29615-3515
Phone (864) 325-9694

Other names 1

  • LabTree Bio-Reference Laboratory Doing business as

National Provider Directory

National Provider Directory

Locations

210 Brendan Way
Greenville, SC 29615
Phone (864) 325-9694

NPI Registry JSON

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

{
    "created_epoch": "1365120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434326400000",
    "number": "1669715801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 BRENDAN WAY",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153515",
            "telephone_number": "864-325-9694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 BRENDAN WAY",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153515",
            "telephone_number": "864-325-9694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABTREE BIO-REFERENCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-05",
        "last_updated": "2015-06-15",
        "status": "A",
        "authorized_official_last_name": "CANIPE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "ANDRES",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "864-325-9694"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "SC",
            "license": "42D2055497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LabTree Bio-Reference Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; 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.