United Diagnostic Laboratories LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

UNITED DIAGNOSTIC LABORATORIES LLC

Practice address

302 Pomona Dr Ste K
Greensboro, NC 27407-1642

Phone

(336) 370-9232

NPI assigned

Nov 11, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Contance Polite

Title

Admin

Phone

(336) 816-0343

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605052800000",
    "number": "1710589031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 POMONA DR STE K",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274071642",
            "telephone_number": "336-370-9232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 POMONA DR STE K",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274071642",
            "telephone_number": "336-370-9232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED DIAGNOSTIC LABORATORIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-11",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A",
        "authorized_official_last_name": "POLITE",
        "authorized_official_first_name": "CONTANCE",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "336-816-0343",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ShareNote.com",
            "affiliation": "N",
            "address_1": "302 Pomona Dr Ste K",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274071642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Clinical Medical Laboratory in Greensboro, NC
• Providers in Greensboro, 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 Nov 11, 2020; 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.