Meta Lab DX LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

META LAB DX LLC

Practice address

9731 Southern Pine Blvd Ste J
Charlotte, NC 28273-5542

Phone

(980) 265-8157

NPI assigned

Feb 17, 2021

Organization subpart

No

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

Authorized official

Name

Jon Harol

Title

Authorized Official

Phone

(860) 833-0489

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613520000000",
    "number": "1841883139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9731 SOUTHERN PINE BLVD STE J",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282735542",
            "telephone_number": "980-265-8157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9731 SOUTHERN PINE BLVD STE J",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282735542",
            "telephone_number": "980-265-8157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "META LAB DX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-17",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A",
        "authorized_official_last_name": "HAROL",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "860-833-0489"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Schiano Messick, NCC, LPC
• Nardine Moheb Messiha, MD
• Lori Anne Messina, MOT OTR/L
• Ana Carine Messler, PH.D.
• Petronela Meszaros, MD
• Metabolic Edge Nutrition LLC
• Aklilu Menyelshewa Metaferia, MD
• Metamorphosis Therapy PLLC
• Jessica Brooke Metcalf, FNP-C
• Jordyn Metcalf, PHARMD, BCPPS

• Clinical Medical Laboratory in Charlotte, NC
• Providers in Charlotte, 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 Feb 17, 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.