1922230143 NPI number — LEXMEDICAL, INC.

Table of content: (NPI 1922230143)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922230143 NPI number — LEXMEDICAL, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LEXMEDICAL, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
LEXMEDICAL PATHOLOGY ASSOCIATES
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1922230143
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/21/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1537
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LEXINGTON
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27293-1537
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
336-243-4656
Provider Business Mailing Address Fax Number:
336-243-4664

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10 MEDICAL PARK DR
Provider Second Line Business Practice Location Address:
STE 5
Provider Business Practice Location Address City Name:
LEXINGTON
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27292-5075
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
336-238-4059
Provider Business Practice Location Address Fax Number:
336-236-4684
Provider Enumeration Date:
08/21/2009

Additional Information

Authorized Official

Authorized Official Last Name:
SHIPWASH
Authorized Official First Name:
LEIGH
Authorized Official Middle Name:
ANN
Authorized Official Title or Position:
DIRECTOR OF OPERATIONS
Authorized Official Telephone Number:
336-238-4059

Provider Taxonomy Codes

  • Taxonomy code: 207ZP0102X , with the licence number:  2007-00166 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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