MEDICARE: RESULT ONE VERIFICATION AND TESTING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1740138189
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RESULT ONE VERIFICATION AND TESTING LLC

Provider Business Mailing Address
First Line	:	613 MARTIN DRVIE
Second Line	:
City	:	PRINCEVILLE
State	:	NC
Zip	:	27886-4198
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1600 WESTERN BLVD
Second Line	:	STE 16
City	:	TARBORO
State	:	NC
Zip	:	27886
Country	:	US
Telephone Number	:	252-267-0261
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LAQUESHA RACHELE BULLOCK
Credential	:
Telephone Number	:	252-267-0261

Provider Enumeration Date	:	03/20/2026
Last Update Date	:	03/20/2026

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