=====================================================
General NPI Number Information
=====================================================
NPI Number | 1740138189
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RESULT ONE VERIFICATION AND TESTING LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/20/2026
-----------------------------------------------------
Last Update Date | 03/20/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1600 WESTERN BLVD STE 16
-----------------------------------------------------
City | TARBORO
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27886
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 252-267-0261
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 613 MARTIN DRVIE
-----------------------------------------------------
City | PRINCEVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27886-4198
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | LAQUESHA RACHELE BULLOCK
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 252-267-0261
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 291U00000X
-----------------------------------------------------
Taxonomy Name | Clinical Medical Laboratory
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------