FOUR CORNERS TESTING LLC – NPI #1376258665
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).

FOUR CORNERS TESTING LLC is an AHC clinic located in CHARLOTTE, NC. NPPES has assigned the NPI number 1376258665 to FOUR CORNERS TESTING LLC on January 20, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

The NPI profile was previously updated about 3 years ago on Jan 24, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FOUR CORNERS TESTING LLC below.

NPI Profile for
FOUR CORNERS TESTING LLC

NPI Number
1376258665
Enumeration Date

(more than 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FOUR CORNERS TESTING LLC
Primary location
301 S MCDOWELL STREET, SUITE 125 - 1652
CHARLOTTE, NC 28204
Phone: (704) 802-2258 Fax:
Mailing address
14150 NE 20TH ST # F1-282
BELLEVUE, WA 98007-3700
Phone: Fax:
Organization Subpart
No
Authorized Official
BRYAN JONES
PRINCIPAL
Phone: (704) 802-2258
Updated
Certification Date
Jan 24, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.