Solstas Lab Partners Group LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

34D0981597 Issued in NC

Legal business name

SOLSTAS LAB PARTNERS GROUP LLC

Practice address

1915 South 17TH Street
Suite 100
Wilmington, NC 28401-6683

Phone

(910) 362-9511

NPI assigned

May 20, 2016

Organization subpart

No

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

Authorized official

Name

Mr. J Pablo Lake

Title

Executive Director-Revenue Services

Phone

(484) 676-7000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1463702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463702400000",
    "number": "1679920573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4380 FEDERAL DR",
            "address_2": "SUITE 100",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274108148",
            "telephone_number": "336-664-6100",
            "fax_number": "336-852-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 SOUTH 17TH STREET",
            "address_2": "SUITE 100",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016683",
            "telephone_number": "910-362-9511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLSTAS LAB PARTNERS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-20",
        "last_updated": "2016-05-20",
        "status": "A",
        "authorized_official_last_name": "LAKE",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "PABLO",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR-REVENUE SERVICES",
        "authorized_official_telephone_number": "484-676-7000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NC",
            "license": "34D0981597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Wilmington, NC
• Providers in Wilmington, 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 May 20, 2016; 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.