Provider Type Icon

SOUTHEAST PATHOLOGY CONSULTANTS INC. NPI 1720546468


NPI Information

NPI: 1720546468
Provider Name: SOUTHEAST PATHOLOGY CONSULTANTS, INC.
Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization
Address:
1815 BACK CREEK DR STE 100
CHARLOTTE, NC
ZIP 28213
Phone: (980) 721-6622
Get Directions

SOUTHEAST PATHOLOGY CONSULTANTS, INC. is a clinical medical laboratory in Charlotte, NC. The provider is (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. SOUTHEAST PATHOLOGY CONSULTANTS, INC. NPI is 1720546468. The provider is registered as an organization entity type.

The provider's business location address is:

1815 BACK CREEK DR STE 100
CHARLOTTE, NC
ZIP 28213-159
Phone: (980) 721-6622

The provider's authorized official is Omar Idlibi .
The authorized official title is Pathologist and has the following contact phone number (980) 721-6622.

The enumeration date for this NPI number is 3/12/2019 and was last updated on 2/4/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1291U00000XClinical Medical LaboratoryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.