Organization Active NPI

Rolling Hills Laboratoriess LLC

  • Clinical Medical Laboratory
  • Charleston, WV
National Provider Identifier
1760921530
Registry record updated Feb 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
ROLLING HILLS LABORATORIESS LLC
Practice address
1337 Virginia St E
Charleston, WV 25301-3011
Phone
(214) 888-6976
Fax
(888) 845-7740
NPI assigned
Feb 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2017

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

Authorized official

Name
John Dixon III
Title
Owner
Phone
(214) 888-6976

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1337 Virginia St E
Charleston, WV 25301-3011

Mailing address

10847 Sanden Dr
Ste 101
Dallas, TX 75238-5358
Phone (214) 888-6976

National Provider Directory

National Provider Directory

Locations

1337 Virginia St E
Charleston, WV 25301
Phone (214) 888-6976

NPI Registry JSON

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

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487203200000",
    "number": "1760921530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10847 SANDEN DR",
            "address_2": "STE 101",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752385358",
            "telephone_number": "214-888-6976",
            "fax_number": "888-845-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1337 VIRGINIA ST E",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253013011",
            "telephone_number": "214-888-6976",
            "fax_number": "888-845-7740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROLLING HILLS LABORATORIESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-14",
        "last_updated": "2017-02-16",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-888-6976",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; 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.