Active NPI
PBS Diagnostics, P.C.
- Anatomic Pathology Physician
- Huntersville, NC
National Provider Identifier
1760782122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- License
- 34D2015092
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology Physician | 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 DirectoryLocations
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.
-
- Cytopathology Physician
- San Antonio, TX
- NPI 1881643492
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
- Vrushali Nitin Patwardhan, MD
- Amy Kathleen Patz, DPT
- Paul a Crandall DMD PA
- Ashley Maria Payne
- Tyesha Kiara Payne
- Peaceful Shore Therapy, PLLC
- Amber Siobhan Pearce, MA, LCMHC
- Pediatric Consultant and Professional Writing Services, PLLC
- Pediatric Feeding and Speech Therapy Associates, PA
- Sheneen Peele
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.