Organization Active NPI

PBS Diagnostics, P.C.

  • Anatomic Pathology Physician
  • Huntersville, NC
National Provider Identifier
1760782122
Registry record updated Nov 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
34D2015092 Issued in NC
Legal business name
PBS DIAGNOSTICS, P.C.
Practice address
9735 Kincey Ave
Suite 302a
Huntersville, NC 28078-9118
Phone
(704) 660-3322
Fax
(704) 660-3330
NPI assigned
Nov 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2010

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

Authorized official

Name
Dr. Sam M Michaels
Title
Incorporator
Phone
(704) 660-3322

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0101X 34D2015092 NC Primary
Clinical Medical Laboratory 291U00000X 34D2015092 NC

Addresses

Primary practice location

9735 Kincey Ave
Suite 302a
Huntersville, NC 28078-9118

Mailing address

9735 Kincey Ave
Suite 302a
Huntersville, NC 28078-9118
Phone (704) 660-3322

National Provider Directory

National Provider Directory

Locations

9735 Kincey Ave
Ste 302A
Huntersville, NC 28078
Phone (704) 660-3322

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": "1288569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289865600000",
    "number": "1760782122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9735 KINCEY AVE",
            "address_2": "SUITE 302A",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280789118",
            "telephone_number": "704-660-3322",
            "fax_number": "704-660-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9735 KINCEY AVE",
            "address_2": "SUITE 302A",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280789118",
            "telephone_number": "704-660-3322",
            "fax_number": "704-660-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PBS DIAGNOSTICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-01",
        "last_updated": "2010-11-16",
        "status": "A",
        "authorized_official_last_name": "MICHAELS",
        "authorized_official_first_name": "SAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "INCORPORATOR",
        "authorized_official_telephone_number": "704-660-3322",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology",
            "state": "NC",
            "license": "34D2015092",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NC",
            "license": "34D2015092",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; 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.