OrganizationActive
Legacy Treatment Center
NPI 1578904603 · Clinical Medical Laboratory · Charlotte, NC
Legacy Treatment Center is a Clinical Medical Laboratory organization in Charlotte, NC (NPI 1578904603).
Provider details
- NPI number
- 1578904603
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Angela Iacullo, Director(561) 715-9288
- License
- 34D2055755 (NC)
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES 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
4421 Stuart Andrew Blvd
Suite 608
Charlotte, NC 28217-1589
Phone: (704) 405-0908
Street-level locationGet directions
Mailing address
4421 Stuart Andrew Blvd
Charlotte, NC 28217-1589
Registry dates
- Enumerated
- 2013-07-17
- Last updated
- 2013-07-17
Frequently asked questions
- What is Legacy Treatment Center's NPI number?
- Legacy Treatment Center's National Provider Identifier (NPI) is 1578904603, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Legacy Treatment Center?
- Legacy Treatment Center is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Legacy Treatment Center located?
- Legacy Treatment Center's practice location on file with NPPES is 4421 Stuart Andrew Blvd, Charlotte, NC 28217-1589.
- What is Legacy Treatment Center's phone number?
- The practice phone number listed in the NPPES registry for Legacy Treatment Center is (704) 405-0908.
- Who is the authorized official for Legacy Treatment Center?
- The authorized official listed on Legacy Treatment Center's NPPES record is Angela Iacullo, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Legacy Treatment Center's NPI active?
- Yes — Legacy Treatment Center's NPI (1578904603) is active in the NPPES registry as of the last update on 2013-07-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.