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LOGICAL MOBILE LABORATORY NPI 1972277572


NPI Information

NPI: 1972277572
Provider Name: LOGICAL MOBILE LABORATORY
Classification: Technician, Pathology - 246R00000X
Entity Type: Organization

CLIA Number: 34D2234285

Address:
7319 BEACON HILL LN APT 26
CHARLOTTE, NC
ZIP 28270
Phone: (704) 773-7475
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LOGICAL MOBILE LABORATORY is a technician pathology in Charlotte, NC. The provider is an individual with knowledge of specific techniques and instruments who performs all of the routine tests in a medical laboratory and who has the ability to discriminate between similar factors that directly affect procedures and results. LOGICAL MOBILE LABORATORY NPI is 1972277572. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7319 BEACON HILL LN APT 26
CHARLOTTE, NC
ZIP 28270-994
Phone: (704) 773-7475

The provider's authorized official is Sabrina Hickenbotham .
The authorized official title is Medical Laboratory Technician and has the following contact phone number (704) 773-7475.

The CLIA number assigned to this NPI record is 34D2234285 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/6/2021 and was last updated on 1/5/2024.


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
1247ZC0005XPathologyClinical Laboratory Director, Non-physicianNo
2246R00000XTechnician, PathologyYes

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

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