4 LIFE LAB (NPI# 1821501800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821501800 |
| Entity Type | Organization |
| Organization Name | 4 LIFE LAB |
| Practice Address |
11709 Fruehauf Dr Ste 103 Charlotte NC 28273-7285 |
| Mailing Address |
201 W Olive Ave Ruston LA 71270-6356 |
| Practice Telephone | 3182781319 |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2018-06-20 |
| Authorized Official Name | MR. MARKUETRIC D STRINGFELLOW (OWNER) |
| Authorized Official Telephone | 3182781319 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | NC | Ambulatory Health Care Facilities |
| Street Address |
11709 FRUEHAUF DR STE 103 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28273-7285 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588204846 | Amerita South Atlantic LLC | Durable Medical Equipment & Medical Supplies | 2520 Whitehall Park Dr Ste 1000, Charlotte, NC 28273 | 2020-01-14 |
| 1295387637 | Excel Eyecare Od Pa | Optometrist | 14154 Steele Creek Rd, Ste 200, Charlotte, NC 28273 | 2019-07-16 |
| 1992262018 | Katherine Grace Bias | Speech-Language Pathologist | 11709 Freuhaud Dr Ste. 123, Charlotte, NC 28273 | 2019-02-25 |
| 1487111977 | Shanise Danielle Lewis | Respite Care | Top Notch Nurse Staffing & Home Health LLC., 2015 Ayrsley Town Blvd. Suite 202, Charlotte, NC 28273 | 2019-02-21 |
| 1700361953 | Timothy John Hartman | Chiropractor | 2550 West Arrowood Road Suite 104, Charlotte, NC 28273 | 2018-10-03 |
| 1144703141 | Shaquanda King | Behavior Technician | 15528 Baltinglass Ct., Charlotte, NC 28273 | 2018-09-14 |
| 1184106502 | Janelle Gillis | Behavioral Analyst | 13354 Calloway Glen Dr, Charlotte, NC 28273 | 2018-09-01 |
| 1730688680 | Style By Shandy Inc | Specialist | 2106 Arysley Town Blvd, A, Charlotte, NC 28273 | 2018-02-06 |
| 1063945582 | Bpolloni Consulting | Clinical Medical Laboratory | 11709 Fruehauf Drive, Suite 105 & 106, Charlotte, NC 28273 | 2017-04-11 |
| 1770038325 | Kerry Barbera | Dietitian, Registered | 12421 Belmont Mansion Dr, Charlotte, NC 28273 | 2016-08-23 |
| Find all providers in zip 28273 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487270674 | Fall Forward Wellness Center | Clinic/Center | 12709 Caldwell Rd, Charlotte, NC 28213-3811 | 2020-06-23 |
| 1760024749 | Wellcomemd Charlotte Clinic, Inc | Clinic/Center | 8035 Providence Rd Ste 315, Charlotte, NC 28277-8909 | 2019-10-11 |
| 1255807251 | Melissa Martin | Clinic/Center | 4401 E Independence Blvd Ste 101, Charlotte, NC 28205-7442 | 2018-10-17 |
| 1104303635 | Greenbrook Tms Charlotte LLC | Clinic/Center | 1515 Mockingbird Ln Ste 340, Charlotte, NC 28209-3298 | 2018-07-27 |
| 1811474976 | Elev8 Md Wellness Center | Clinic/Center | 8000 Corporate Center Dr Ste 212, Charlotte, NC 28226-4205 | 2018-07-23 |
| 1053801936 | Charlotte Community Health Clinic, Inc. | Clinic/Center | 1225 S Caldwell St, Charlotte, NC 28203-4556 | 2018-05-16 |
| 1235642166 | Thrive Pediatric Therapy, Pllc | Clinic/Center | 3315 Springbank Ln Ste 206, Charlotte, NC 28226-3198 | 2017-11-14 |
| 1336595826 | North Carolina Neurodiagnostics, LLC | Clinic/Center | 10130 Perimeter Pwky, Ste. 200, Office 250, Charlotte, NC 28216 | 2016-05-13 |
| 1750673729 | Al-falah Group PC | Clinic/Center | 3118 Milton Rd, A, Charlotte, NC 28215 | 2011-05-10 |
| 1245400225 | American Current Care of North Carolina PC | Clinic/Center | 4221 Tuckaseegee Road, Charlotte, NC 28208 | 2008-03-06 |
| Find all providers in CHARLOTTE | ||||
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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.