Charlotte Vdovychenko

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

45D1073121 Issued in TX

Legal business name

CHARLOTTE VDOVYCHENKO

Practice address

703 McKinney Ave
Dallas, TX 75202-1007

Phone

(817) 915-1800

Fax

(682) 503-6649

NPI assigned

Jan 29, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Charlotte B Vdovychenko, M(ASCP)

Title

Director

Phone

(817) 915-1800

Specialties & licenses 1

Addresses

Other names 1

• Central Laboratory Services Doing business as

Locations

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227052800000",
    "number": "1992982151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 59",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760390059",
            "telephone_number": "817-915-1800",
            "fax_number": "682-503-6649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 MCKINNEY AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752021007",
            "telephone_number": "817-915-1800",
            "fax_number": "682-503-6649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLOTTE VDOVYCHENKO",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-11-19",
        "status": "A",
        "authorized_official_last_name": "VDOVYCHENKO",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "817-915-1800",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M(ASCP)"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "45D1073121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Laboratory Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Todae Charles
• Trina Ann Charlesworth, LCSW
• Charlie'S Pharmacy ( DME )
• Charlie'S Pharmacy Inc.
• Emy Charlot
• Viachaslau Charnashei, DMD
• Olivia Charney
• Charter Hospice Inc
• Stephanie Chartier-Plante, M.D.
• Pintip Charunmethee, DDS,MS

• Clinical Medical Laboratory in Dallas, TX
• Providers in Dallas, TX by specialty
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; 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.