Clinical Laboratory Services, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CLINICAL LABORATORY SERVICES, INC

Practice address

102 Lincoln Medical Park
102 Lincoln Medical Park
Lincolnton, NC 28092-4402

Phone

(704) 732-1752

Fax

(704) 736-0273

NPI assigned

Aug 23, 2005

Last updated

Jul 20, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Margaret Ann Hyder

Title

President

Phone

(704) 732-1752

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184889600000",
    "number": "1679566954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1446 E GASTON ST",
            "address_2": "102 LINCOLN MEDICAL PARK",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280924416",
            "telephone_number": "704-732-1752",
            "fax_number": "704-736-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 LINCOLN MEDICAL PARK",
            "address_2": "102 LINCOLN MEDICAL PARK",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280924402",
            "telephone_number": "704-732-1752",
            "fax_number": "704-736-0273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL LABORATORY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2007-07-20",
        "status": "A",
        "authorized_official_last_name": "HYDER",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-732-1752"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8900442",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mihaela S. Ciobotea, M.D.
• CJ Ramke PLLC
• Beth Watts Clark, RN
• Savannah Elizabeth Clark
• Kara Hawk Clemmer, FNP
• John Lester Cloninger III III, DDS
• John Lester Cloninger, DDS
• Karen Cloninger
• Melinda H Clontz, LCSW
• Steven Brooks Coburn, DMD

• Clinical Medical Laboratory in Lincolnton, NC
• Providers in Lincolnton, NC by specialty
• Clinical Medical Laboratory in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; 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.