Bon Laboratory Services Inc

Primary specialty

Medical Laboratory TechnicianTaxonomy code 246RM2200X

Legal business name

BON LABORATORY SERVICES INC

Practice address

14248 Drake Watch LN
Charlotte, NC 28262-1641

Phone

(773) 852-7866

NPI assigned

Jan 24, 2022

Organization subpart

No

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

Authorized official

Name

Ansar Mohammed

Title

President

Phone

(773) 852-7866

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1642982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643328000000",
    "number": "1720730385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14248 DRAKE WATCH LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282621641",
            "telephone_number": "773-852-7866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14248 DRAKE WATCH LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282621641",
            "telephone_number": "773-852-7866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BON LABORATORY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-24",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A",
        "authorized_official_last_name": "MOHAMMED",
        "authorized_official_first_name": "ANSAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-852-7866"
    },
    "taxonomies": [
        {
            "code": "246RM2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Pathology, Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabrina Elsje Bologna, PA-C
• Mohammad R. Bolouri, MD
• Kelley Bolton, PSY.D.
• Michael Anthony Bomar II, MSW, LCSW, LISW-CP
• Bomray Medical Clinic
• Amy Bonadies
• Thadius Leonard Bonapart III
• Bond Medical Billing and Coding Services LLC
• Bond of Brothers of America
• Kevin Page Bond, DDS

• Medical Laboratory Technician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Medical Laboratory Technician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; 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.