Healthcare Provider Details

I. General information

NPI: 1740168640
Provider Name (Legal Business Name): THE AVALIB CARE CART, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2025
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 E COLLEGE AVE STE C
SHELBY NC
28152-0005
US

IV. Provider business mailing address

446 GANTTS GROVE CHURCH RD
MOORESBORO NC
28114-9612
US

V. Phone/Fax

Practice location:
  • Phone: 704-406-9979
  • Fax:
Mailing address:
  • Phone: 704-418-1002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: AMY LIANN MITCHELL-PARKER
Title or Position: ADMINISTRATOR
Credential:
Phone: 704-418-1002