Secure Diagnostic Labs LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

SECURE DIAGNOSTIC LABS LLC

Practice address

1540 Westbrook Plaza Dr Ste B
Winston Salem, NC 27103-1331

Phone

(743) 900-3306

NPI assigned

Sep 6, 2023

Organization subpart

No

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

Authorized official

Name

Ashantris BassNPI 1275319204

Title

Ceo/Owner

Phone

(336) 403-3239

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ashantris Bass

  • Medical Laboratory Technician
  • Winston Salem, NC
  • NPI 1275319204
  NPD Authorized official

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1801672837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1039 GLENMONT RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271071561",
            "telephone_number": "336-403-3239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 WESTBROOK PLAZA DR STE B",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031331",
            "telephone_number": "743-900-3306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECURE DIAGNOSTIC LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "ASHANTRIS",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "336-403-3239"
    },
    "taxonomies": [
        {
            "code": "246RM2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Sebes
• Audry Sebikali-Potts
• Matthew Scott Sechler, M.D.
• Alicia Siam Sechrist, CRNA
• Catherine Williford Sechrist, MD
• Ian Alasdair Seddon, DO
• Jena Mary Seddon, PA
• Ginnie D Sedlak, M.A., C.C.C.
• Sandra F Seeber, LPC
• Mary Beth Seegars, MD

• Clinical Medical Laboratory in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Clinical Medical Laboratory in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.