OrganizationActive
Legacy Diagnostic Labs LLC
NPI 1205788338 · Clinical Medical Laboratory · Princeville, NC
Legacy Diagnostic Labs LLC is a Clinical Medical Laboratory organization in Princeville, NC (NPI 1205788338).
Provider details
- NPI number
- 1205788338
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Jesicka Andrews, Owner(252) 366-3250
Specialties & taxonomies
Laboratories
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
417 Tolbert Pl
Princeville, NC 27886-9615
Phone: (252) 710-7830
Street-level locationGet directions
Mailing address
417 Tolbert Pl
Princeville, NC 27886-9615
Registry dates
- Enumerated
- 2026-02-11
- Last updated
- 2026-02-11
- Certified
- 2026-02-11
Frequently asked questions
- What is Legacy Diagnostic Labs LLC's NPI number?
- Legacy Diagnostic Labs LLC's National Provider Identifier (NPI) is 1205788338, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Legacy Diagnostic Labs LLC?
- Legacy Diagnostic Labs LLC is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Legacy Diagnostic Labs LLC located?
- Legacy Diagnostic Labs LLC's practice location on file with NPPES is 417 Tolbert Pl, Princeville, NC 27886-9615.
- What is Legacy Diagnostic Labs LLC's phone number?
- The practice phone number listed in the NPPES registry for Legacy Diagnostic Labs LLC is (252) 710-7830.
- Who is the authorized official for Legacy Diagnostic Labs LLC?
- The authorized official listed on Legacy Diagnostic Labs LLC's NPPES record is Jesicka Andrews, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Legacy Diagnostic Labs LLC's NPI active?
- Yes — Legacy Diagnostic Labs LLC's NPI (1205788338) is active in the NPPES registry as of the last update on 2026-02-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.