Organization Active NPI

Eastern Laboratory Associates

  • Clinical Medical Laboratory
  • Greenville, NC
National Provider Identifier
1700528858
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
EASTERN LABORATORY ASSOCIATES
Practice address
2470 Emerald PL Ste C
Greenville, NC 27834-5786
Phone
(252) 364-8681
Fax
(252) 364-8682
NPI assigned
Apr 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Authorized official

Name
Mrs. Tonette Godard, M.S.,BSMT,MLT(ASCP)NPI 1255073391
Title
Manager
Phone
(252) 364-8681

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary
Private Vehicle 347C00000X

Addresses

Primary practice location

2470 Emerald PL Ste C
Greenville, NC 27834-5786

Mailing address

2470 Emerald PL Ste C
Greenville, NC 27834-5786
Phone (252) 364-8681

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230530001702 NC Part B Supplier - Independent Clinical Laboratory 3779940150 Practice locations: Greenville, NC

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
34D2264897Eastern Laboratory Associates, LLC2470 Emerald Place Suite C, Greenville, NC 27834ComplianceJan 30, 2027

National Provider Directory

National Provider Directory

Locations

2470 Emerald Pl
Ste C
Greenville, NC 27834
Phone (252) 364-8681

Practitioners & affiliated clinicians

Practitioners 1

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": "1649462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776038400000",
    "number": "1700528858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2470 EMERALD PL STE C",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345786",
            "telephone_number": "252-364-8681",
            "fax_number": "252-364-8682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2470 EMERALD PL STE C",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345786",
            "telephone_number": "252-364-8681",
            "fax_number": "252-364-8682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN LABORATORY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-09",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A",
        "authorized_official_last_name": "GODARD",
        "authorized_official_first_name": "TONETTE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "252-364-8681",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S.,BSMT,MLT(ASCP)"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.