Organization Active NPI

Skyy Laboratory LLC

  • Clinical Medical Laboratory
  • Charlotte, NC
National Provider Identifier
1801251129
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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

Updated by the provider on Jul 21, 2022

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.