Active NPI
Skyy Laboratory LLC
- Clinical Medical Laboratory
- Charlotte, NC
National Provider Identifier
1801251129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- SKYY LABORATORY LLC
- Practice address
- 7512 E Independence Blvd
Suite 114
Charlotte, NC 28227-9412 - Phone
- (931) 223-5466
- Fax
- (844) 759-9329
- NPI assigned
- Dec 31, 2015
- 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
- Corey Tyrone Lee
- Title
- C.E.O.
- Phone
- (901) 870-5956
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | NC | ||
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
7512 E Independence Blvd
Suite 114
Charlotte, NC 28227-9412
Mailing address
7512 E Independence Blvd
Suite 114
Charlotte, NC 28227-9412
Phone (931) 223-5466
National Provider Directory
National Provider DirectoryLocations
7512 E Independence Blvd
Ste 114
Charlotte, NC 28227
Phone (901) 870-5956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451520000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1801251129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7512 E INDEPENDENCE BLVD",
"address_2": "SUITE 114",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282279412",
"telephone_number": "931-223-5466",
"fax_number": "844-759-8329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7512 E INDEPENDENCE BLVD",
"address_2": "SUITE 114",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282279412",
"telephone_number": "931-223-5466",
"fax_number": "844-759-9329"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SKYY LABORATORY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-31",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "COREY",
"authorized_official_middle_name": "TYRONE",
"authorized_official_title_or_position": "C.E.O.",
"authorized_official_telephone_number": "901-870-5956"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NC",
"license": null,
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.