Organization Active NPI

Charlotte Lab School

  • Developmental Disabilities Clinic/Center
  • Charlotte, NC
National Provider Identifier
1700660966
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
CHARLOTTE LAB SCHOOL
Practice address
2045 Suttle Ave
Charlotte, NC 28208-5235
Phone
(704) 464-3830
NPI assigned
Aug 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Authorized official

Name
Ms. Catherine Malone
Title
Head of Operations
Phone
(704) 885-2188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

2045 Suttle Ave
Charlotte, NC 28208-5235

Mailing address

2045 Suttle Ave
Charlotte, NC 28208-5235
Phone (704) 464-3830

National Provider Directory

National Provider Directory

Locations

2045 Suttle Ave
Charlotte, NC 28208
Phone (704) 464-3830

NPI Registry JSON

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692576000000",
    "number": "1700660966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 SUTTLE AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282085235",
            "telephone_number": "704-464-3830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 SUTTLE AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282085235",
            "telephone_number": "704-464-3830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLOTTE LAB SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A",
        "authorized_official_last_name": "MALONE",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "HEAD OF OPERATIONS",
        "authorized_official_telephone_number": "704-885-2188",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.