Queen City Laboratory Services, PLLC

Primary specialty

Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X

Legal business name

QUEEN CITY LABORATORY SERVICES, PLLC

Practice address

10150 Mallard Creek Rd Ste 104
Charlotte, NC 28262-4567

Phone

(240) 468-9428

NPI assigned

Jan 24, 2022

Organization subpart

No

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

Authorized official

Name

Leena Drew, DNP, FNP-CNPI 1306117544

Title

Owner

Phone

(240) 468-9428

Specialties & licenses 6

Addresses

Practitioners 1

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

• Leena Carissa Drew, DNP, FNP-C

  • Family Nurse Practitioner
  • Greensboro, NC
  • NPI 1306117544
  NPD Authorized official

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

{
    "created_epoch": "1642982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645488000000",
    "number": "1992457550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10150 MALLARD CREEK RD STE 104",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10150 MALLARD CREEK RD STE 104",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624567",
            "telephone_number": "240-468-9428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEEN CITY LABORATORY SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-24",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A",
        "authorized_official_last_name": "DREW",
        "authorized_official_first_name": "LEENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-468-9428",
        "authorized_official_credential": "DNP, FNP-C"
    },
    "taxonomies": [
        {
            "code": "207RI0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Clinical & Laboratory Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "246QL0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Pathology, Laboratory Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246QL0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Pathology, Laboratory Management, Diplomate",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246RM2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Pathology, Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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": []
}

• Queen City Ear Nose and Throat PLLC
• Queen City Eye Center, O.D., PLLC
• Queen City Foot and Ankle Specialists
• Queen City Gastroenterology & Hepatology, PC
• Queen City Home Care LLC
• Queen City Labs, LLC
• Queen City Pelvic PT
• Queen City Pharmacy LLC
• Queen City Plastic Surgery PLLC
• Queen City Psychotherapy PLLC

• Clinical Pathology/Laboratory Medicine Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Pathology/Laboratory Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.