OrganizationActive
Carolina Medical Lab Group Inc.
NPI 1992700124 · Clinical Medical Laboratory · Charlotte, NC
Provider details
- NPI number
- 1992700124
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Authorized official
- Osama Idlibi, Vice President
- License
- 34D0946272 (NC)
Mailing address
1815 Back Creek Dr
Charlotte, NC 28213-2159
Registry dates
- Enumerated
- 2005-06-15
- Last updated
- 2009-07-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.