BLUEWEST/LAB LLC (NPI# 1053850206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053850206 |
| Entity Type | Organization |
| Organization Name | BLUEWEST/LAB LLC |
| Practice Address |
1076 Stamper Rd Fayetteville NC 28303-4191 |
| Practice Telephone | 3362558285 |
| Mailing Telephone | 3362558285 |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2017-02-21 |
| Authorized Official Name | MS. RACHELLE BROOKS-BLUE (OWNER) |
| Authorized Official Telephone | 9102574339 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 34D2122291 | NC | Laboratories |
| Street Address |
1076 STAMPER RD |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28303-4191 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639246010 | Makin Choices Inc | Community/Behavioral Health | 1076 Stamper Rd, Fayetteville, NC 28303-4191 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801404496 | Matthew Pace | Physician Assistant | Bldg 5-4257 Bastogne St, Fort Bragg, NC 28303 | 2020-07-20 |
| 1952920449 | Vonetta Bethea Jackson | Social Worker | 391 Wagoner Drive, Fayetteville, NC 28303 | 2020-04-14 |
| 1932746229 | Julie Harriss | Specialist/Technologist | Bldg E 4062, Canopy Lane, Fort Bragg, NC 28303 | 2019-12-05 |
| 1235780354 | Helen Delores Johnson | Technician | 261 Pierron Dr, Fayetteville, NC 28303 | 2019-09-20 |
| 1922655075 | Andrea Margaret Hutnam | Technician | 714 Shortridge Rd, Fayetteville, NC 28303 | 2019-08-23 |
| 1225695273 | Breona Lister | Dental Hygienist | 38 17 Gruber Rd, Fort Bragg, NC 28303 | 2019-05-24 |
| 1780148957 | Brian K Cox Sr. | Occupational Therapy Assistant | 5300 Ramsey St, Fayetteville, NC 28303 | 2019-01-22 |
| 1730670902 | Michael Sadtler | Counselor | 804 Stamper Rd Ste 101, Fayetteville, NC 28303 | 2018-05-23 |
| 1104320399 | Tia Porterfield | Counselor | 2018 Fort Bragg Rd Ste 112a, Fayetteville, NC 28303 | 2018-03-21 |
| 1154835577 | Jessica Bass Bosworth | Psychologist | 3415 Youngstown Dr, Fayetteville, NC 28303 | 2017-11-21 |
| Find all providers in zip 28303 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275001851 | Cquentia Arkansas Lab LLC | Clinical Medical Laboratory | 112 W Center St Ste 504, Fayetteville, AR 72701-6073 | 2018-11-13 |
| 1619349107 | Living Well Behavioral Health Lab | Clinical Medical Laboratory | 2350 Bentridge Ln Ste 301a, Fayetteville, NC 28304-0590 | 2015-10-23 |
| 1962899989 | Ancillary Innovations | Clinical Medical Laboratory | 1792 E Joyce Blvd Ste 3, Fayetteville, AR 72703-5255 | 2015-04-16 |
| 1932404274 | Kaiser Permanente | Clinical Medical Laboratory | 101 Banks Sta, Fayetteville, GA 30214-7507 | 2011-01-18 |
| 1124646013 | Namida Lab Inc. | Clinical Medical Laboratory | 1905 E Mission Blvd Ste 6, Fayetteville, AR 72703-3129 | 2020-07-08 |
| 1356889950 | Cumberland County Health System Inc | Clinical Medical Laboratory | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2017-02-03 |
| 1336517507 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1307 Avon St, Fayetteville, NC 28304-4423 | 2015-09-04 |
| 1063802718 | Carolina Outreach, LLC | Clinical Medical Laboratory | 911 Hay St, Fayetteville, NC 28305-5313 | 2015-02-03 |
| 1790184760 | Arkansas Medical Imaging Jv LLC | Clinical Medical Laboratory | 361 E Millsap Rd, Fayetteville, AR 72703-6289 | 2014-08-15 |
| 1669800165 | Lab One LLC | Clinical Medical Laboratory | 3215 N Northhills Blvd, Ste B, Fayetteville, AR 72703-4424 | 2013-10-17 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28303 |
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| 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.