Uplift Diagnostic Services, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

UPLIFT DIAGNOSTIC SERVICES, LLC

Practice address

304 E Washington St
La Grange, NC 28551-1856

Phone

(252) 566-3010

NPI assigned

Nov 30, 2021

Organization subpart

No

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

Authorized official

Name

Shameka Campbell

Title

President

Phone

(765) 409-9633

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639353600000",
    "number": "1801554589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 254",
            "city": "LA GRANGE",
            "state": "NC",
            "postal_code": "285510254",
            "telephone_number": "252-566-3010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 E WASHINGTON ST",
            "city": "LA GRANGE",
            "state": "NC",
            "postal_code": "285511856",
            "telephone_number": "252-566-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPLIFT DIAGNOSTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-30",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "SHAMEKA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "765-409-9633"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Mae Smith, PLCSW QP
• Erich Waverly Smith, PA-C
• Jennifer Lynn Sparks, DPT
• Donald Sutton
• University of North Carolina Hospitals at Chapel Hill
• Uplift Home Care, LLC
• Dawn M Velez
• Waters' Provider Care Services, Inc.

• All providers in La Grange, NC
• Health Service Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; 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.