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General NPI Number Information
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NPI Number | 1265340574
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Entity Type | Organization
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Legal Business Name | NATALIE LAB LLC
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Dates
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Enumeration Date | 08/28/2026
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Last Update Date | 08/28/2026
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Provider Practice Location Address
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Address Line | 1431 ELIZABETH AVE STE 8
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City | CHARLOTTE
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State | NC
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Zip | 28204-2506
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Country | US
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Telephone | 980-298-3516
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Fax | 980-486-1129
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Provider Business Mailing Address
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Address Line | 1146 BRIDGES ST
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City | SHELBY
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State | NC
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Zip | 28152-7204
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Country | US
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Telephone | 980-298-3516
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Fax | 980-486-1129
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Authorized Official
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Title or Position | OWNER/AUTHORIZED OFFICIAL
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Name | NATALIE NICOLE CARELOCK
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Credential |
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Telephone | 980-298-3516
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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