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BON LABORATORY SERVICES INC NPI 1720730385


NPI Information

NPI: 1720730385
Provider Name: BON LABORATORY SERVICES INC
Classification: Technician, Pathology - 246RM2200X
Entity Type: Organization

Specialization: Medical Laboratory

CLIA Number: 34D2253513

Address:
14248 DRAKE WATCH LN
CHARLOTTE, NC
ZIP 28262
Phone: (773) 852-7866
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BON LABORATORY SERVICES INC is a medical laboratory technician pathology in Charlotte, NC. BON LABORATORY SERVICES INC NPI is 1720730385. The provider is registered as an organization entity type.

The provider's business location address is:

14248 DRAKE WATCH LN
CHARLOTTE, NC
ZIP 28262-641
Phone: (773) 852-7866

The provider's authorized official is Ansar Mohammed .
The authorized official title is President and has the following contact phone number (773) 852-7866.

The CLIA number assigned to this NPI record is 34D2253513 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/24/2022 and was last updated on 1/28/2022.


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 LaboratoryNo
2246RM2200XTechnician, PathologyMedical 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: 4/28/2024

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.