Southeast Medical Laboratory Llc

LBN: Southeast Medical Laboratory Llc
Southeast Medical Laboratory Llc is an health care organization with primary practice located at 619 Jefferson St , Whiteville NC 28472-3707. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Southeast Medical Laboratory Llc can be contacted via phone (910) 642-3697, or through Hodgson, John via phone (910) 642-3697.

Contact Information

Primary practice address
619 Jefferson St Whiteville NC 28472-3707
Phone: (910) 642-3697
Fax: (910) 642-5929
Website:
Map and Directions
Authorized official contact:
Name: Hodgson, John Doctor of Medicine (MD)
Phone: (910) 642-3697

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X North Carolina

Profile Details

NPI number 1366549529
LBN Legal business name Southeast Medical Laboratory Llc
DBA Doing business as
Authorized official Hodgson, John Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Jul 21st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366549529 NPPES
North Carolina MEDICAID 8900473
North Carolina Other 0270C

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