Organization Active NPI

Logical Mobile Laboratory

  • Pathology Technician
  • Charlotte, NC
National Provider Identifier
1972277572
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pathology TechnicianTaxonomy code 246R00000X
Legal business name
LOGICAL MOBILE LABORATORY
Practice address
7319 Beacon Hill LN Apt 26
Charlotte, NC 28270-5994
Phone
(704) 773-7475
NPI assigned
Aug 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Authorized official

Name
Sabrina Hickenbotham
Title
Medical Laboratory Technician
Phone
(704) 773-7475

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pathology TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 246R00000X Primary
Clinical Laboratory Director (Non-physician)Group: 193200000X MULTI-SPECIALTY GROUP 247ZC0005X

Addresses

Primary practice location

7319 Beacon Hill LN Apt 26
Charlotte, NC 28270-5994

Mailing address

7319 Beacon Hill LN Apt 26
Charlotte, NC 28270-5994
Phone (704) 773-7475

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1628208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1972277572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7319 BEACON HILL LN APT 26",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282705994",
            "telephone_number": "704-773-7475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7319 BEACON HILL LN APT 26",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282705994",
            "telephone_number": "704-773-7475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOGICAL MOBILE LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-06",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A",
        "authorized_official_last_name": "HICKENBOTHAM",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_title_or_position": "MEDICAL LABORATORY TECHNICIAN",
        "authorized_official_telephone_number": "704-773-7475"
    },
    "taxonomies": [
        {
            "code": "246R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Pathology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "247ZC0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Jan 5, 2024; 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.