Stellar Diagnostics, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

STELLAR DIAGNOSTICS, LLC

Practice address

490 Wildwood North Cir Ste 110
Homewood, AL 35209-0140

Phone

(310) 729-2911

NPI assigned

Apr 14, 2022

Organization subpart

No

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

Authorized official

Name

Alexis McBrayer, PHD, MBA, NRCC

Title

Ceo

Phone

(310) 729-2911

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1649894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649894400000",
    "number": "1801539283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 WILDWOOD NORTH CIR STE 110",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352090140",
            "telephone_number": "310-729-2911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 WILDWOOD NORTH CIR STE 110",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352090140",
            "telephone_number": "310-729-2911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STELLAR DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-14",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A",
        "authorized_official_last_name": "MCBRAYER",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-729-2911",
        "authorized_official_credential": "PHD, MBA, NRCC"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Homewood, AL
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• Clinical Medical Laboratory in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.