ALBERMARLE LABORATORY (NPI# 1447764949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447764949 |
| Entity Type | Organization |
| Organization Name | ALBERMARLE LABORATORY |
| Other Organization Name | ALBERMARLE LABORATORY |
| Practice Address |
110 Medical Dr Ste 1 Elizabeth City NC 27909-3374 |
| Practice Telephone | 2523355227 |
| Practice Fax Number | 2523355226 |
| Mailing Telephone | 2523355227 |
| Mailing Fax Number | 2523355226 |
| Enumeration Date | 2017-11-21 |
| Last Update Date | 2017-11-21 |
| Authorized Official Name | SABRINA COWELL (MANAGER/PHLEBOTOMIST TECHNICIAN) |
| Authorized Official Telephone | 2523355227 |
| Authorized Official Credential | MANAGER |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247ZC0005X |
Pathology Specialization: Clinical Laboratory Director, Non-physician |
Technologists, Technicians & Other Technical Service Providers |
| Other Name | Type Code |
|---|---|
| ALBERMARLE LABORATORY | Doing Business As Name - Organization |
| Street Address |
110 MEDICAL DR STE 1 |
| City | ELIZABETH CITY |
| State | NC |
| Zip Code | 27909-3374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482177 | Leslie Treherne-fayton Dds Pllc | Dentist | 3875 Conlon Way Ste A, Elizabeth City, NC 27909 | 2020-03-13 |
| 1053829077 | Kaitlyn Daniels | Counselor | 1825 West City Drive, Suites A&b, Elizabeth City, NC 27909 | 2018-01-11 |
| 1487183778 | Traniqua Mccullen | Social Worker | 314 Orchard Drive, Elizabeth City, NC 27909 | 2017-06-08 |
| 1760938401 | Lauren Noele Schaefer | Physical Therapist | 615 S Hughes Boulevard, Unit B, Elizabeth City, NC 27909 | 2016-09-01 |
| 1588023279 | Regina Mccoy | Nurse Practitioner | 1507 N Road St Ste 3, Elizabeth City, NC 27909 | 2016-02-23 |
| 1750753760 | Mark C. ''chris'' Patterson | Physician Assistant | Coast Guard Base Elizabeth City, 1664 Weeksville Road, Building 128, Elizabeth City, NC 27909 | 2015-10-29 |
| 1770963365 | Harlan Bradley Hurdle | Pharmacist | 104 Breezewood Drive, Elizabeth City, NC 27909 | 2015-06-09 |
| 1558779298 | Wilkiam Wilson | Counselor | 1290 Halstead Blvd, Elizabeth City, NC 27909 | 2014-07-25 |
| 1871919886 | Courtney Bunch | Specialist/Technologist | 1680 Cedar Point Circle, Elizabeth City, NC 27909 | 2014-03-14 |
| 1790100832 | The Power of U | Community/Behavioral Health | 1023 Us17s Suite 1, Elizabeth City, NC 27909 | 2014-02-26 |
| Find all providers in zip 27909 | ||||
| Taxonomy Code | 247ZC0005X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Pathology |
| Specialization | Clinical Laboratory Director, Non-physician |
| An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405. |
| Notes: Source: National Uniform Claim Committee [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871075283 | James Fuller | Pathology | 310 Raleigh St, Holly Springs, NC 27540-9047 | 2018-08-31 |
| 1366789513 | Jessica Karen Booker | Pathology | 301 Brinkhous Bullitt Building, Chapel Hill, NC 27599-7525 | 2013-01-08 |
| 1881739381 | Thomas J. Monroe | Pathology | 7010 Kit Creek Rd., Morrisville, NC 27560 | 2007-02-21 |
| 1831729177 | Kristen Leigh Smith | Pathology | 1447 York Ct, Burlington, NC 27215-3361 | 2020-01-24 |
| 1801432117 | Ntei Abudu | Pathology | 1904 Tw Alexander Dr, Durham, NC 27709-0153 | 2019-11-21 |
| 1780116178 | Andrea Penton | Pathology | 101 Manning Dr, #1072 East Wing, Chapel Hill, NC 27514-4220 | 2017-04-03 |
| 1013462399 | Gregory Mcintire | Pathology | 486 Gallimore Dairy Rd, Greensboro, NC 27409-9725 | 2016-08-17 |
| 1114319787 | John Fisher IIi | Pathology | 3 Mcdowell St, Asheville, NC 28801-4103 | 2015-02-19 |
| 1215334669 | Zengliu Su | Pathology | 486 Gallimore Dairy Rd, Greensboro, NC 27409-9725 | 2014-12-01 |
| 1689911380 | John Schmitz | Pathology | 101 Manning Dr, Rm. 1035 East Wing Unc Hospitals, Chapel Hill, NC 27514-4220 | 2013-01-15 |
| Find all providers with the same taxonomy | ||||
| City | ELIZABETH CITY |
| Zip Code | 27909 |
Please comment or provide details below to improve the information on ALBERMARLE LABORATORY.
| 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.