SOUTHEAST PATHOLOGY CONSULTANTS, INC.


Address: 1815 Back Creek Dr Ste 100, Charlotte, NC 28213-2159
Phone: 9807216622

SOUTHEAST PATHOLOGY CONSULTANTS, INC. (NPI# 1720546468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720546468
Entity Type Organization
Organization Name SOUTHEAST PATHOLOGY CONSULTANTS, INC.
Practice Address 1815 Back Creek Dr Ste 100
Charlotte
NC 28213-2159
Practice Telephone 9807216622
Mailing Telephone 9807216622
Enumeration Date 2019-03-12
Last Update Date 2020-02-04
Authorized Official Name OMAR IDLIBI (PATHOLOGIST)
Authorized Official Telephone 9807216622
Authorized Official Credential MC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 291U00000X Clinical Medical Laboratory Laboratories

Office Location

Street Address 1815 BACK CREEK DR STE 100
City CHARLOTTE
State NC
Zip Code 28213-2159

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194288241 Tonya Denise Farmer Nurse Practitioner 620 Tom Hunter Road, Charlotte, NC 28213 2019-04-06
1447743331 April Neville Counselor 2442 Ryerson Ct, Charlotte, NC 28213 2018-06-14
1194234328 Specialized Health Care Services Case Management 2750 E. Wt Harris Blvd, Suite 128, Charlotte, NC 28213 2017-09-19
1871016816 Monarch Occupational Therapist 1810 Back Creek Drive, Charlotte, NC 28213 2017-07-21
1609306778 Mackenzie Cashman Precht Physician Assistant 2225 E W T Harris Blvd Unit B, Charlotte, NC 28213 2017-06-12
1861939118 Nensi Pandya Pharmacist 10227 University City Blvd, Charlotte, NC 28213 2017-01-25
1952721458 Morgan Washington Specialist/Technologist 2336 Comfrey Court, Charlotte, NC 28213 2014-04-23
1992132393 Midway Healthcare Home Health 6003 Dovetree Lane Suite D, Charlotte, NC 28213 2013-09-30
1932445178 Zachary Gachogu Kariuki Counselor 10417 Round Leaf Drive, Charlotte, NC 28213 2012-12-17
1962747675 Crystal Cherie Simmons Counselor 13724 Riding Hill Ave, Charlotte, NC 28213 2012-12-06
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Taxonomy Information

Taxonomy Code 291U00000X
Grouping Laboratories
Classification Clinical Medical Laboratory

Taxonomy Definition

(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.
Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186.

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1679060222 1st Stop Labs LLC Clinical Medical Laboratory 4920 Albemarle Rd, Charlotte, NC 28205-6618 2018-04-19
1700399656 David Farache Clinical Medical Laboratory 300 Billingsley Rd Ste 107, Charlotte, NC 28211-1084 2017-11-14
1063945582 Bpolloni Consulting Clinical Medical Laboratory 11709 Fruehauf Drive, Suite 105 & 106, Charlotte, NC 28273 2017-04-11
1639541295 Highline Labs, LLC Clinical Medical Laboratory 5900 Northwoods Business Parkway, Suite K, Charlotte, NC 28269-5747 2015-10-22
1134512429 Anchore Laboratories, Inc Clinical Medical Laboratory 3635 Mount Holly Huntersville Rd, Charlotte, NC 28216-8628 2015-03-10
1326430091 Captiva Lab Clinical Medical Laboratory 3300 International Airport Drive, Suite 100, Charlotte, NC 28208-5799 2015-03-04
1578960274 Direct Access Lab, LLC Clinical Medical Laboratory 4822 Albemarle Road, Suite 110, Charlotte, NC 28205-6621 2014-11-24
1841626975 Laboratory Corporation of America Holdings Clinical Medical Laboratory 5933 Blakeney Park Dr Unit A, Suite 100, Charlotte, NC 28277-5713 2013-09-20
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City CHARLOTTE
Zip Code 28213

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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