PEDIATRIC RESOURCE CENTER
NPI 1740326917
Clinic/Center in Charlotte, NC

Q: What is Charlotte-Mecklenburg Hospital Authority's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since January 29, 2007CLIA 34D1020911 · Waiver

1000 BLYTHE BLVD, CHARLOTTE, NC 28203(704) 355-2000 Get Directions Write a Review

NPPES record last updated: April 19, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Pediatric Resource Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDIATRIC RESOURCE CENTER (NPI 1740326917) is a healthcare organization registered as a clinic/center in Charlotte, North Carolina and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through July 7, 2028 and lists Greg Gombar, Administrator, as its authorized official.

NPPES Registry Identity

NPI1740326917

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameCHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY

Location Address1000 BLYTHE BLVDCharlotte, NC 28203-5812

Mailing AddressPo Box 32861Charlotte, NC 28232-2861 · (704) 512-6438 · Fax (704) 512-6485

Phone(704) 355-2000

Organization SubpartNo

Authorized OfficialGreg GombarAdministrator · (704) 355-2154

Enumeration DateJanuary 29, 2007

Last NPPES UpdateApril 19, 2011

✔ NPI 1740326917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

1000 BLYTHE BLVD, Charlotte, NC 28203

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Other Names 1

Other NamePediatric Resource Center

Other Identifiers 3

Medicaid7901300NC

Medicare OSCAR/certification2319616NC

MedicaidNPA501SC

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D1020911

Pediatric Resource Center · Charlotte, NC

Active · expires Jul 7, 2028

CLIA Number34D1020911

Laboratory TypeAncillary Testing Site In Health Care Center

Certificate Effective DateJuly 8, 2026

Certificate Expiration DateJuly 7, 2028

Laboratory DirectorKendra K. Ham

Laboratory Phone(704) 335-2763

Laboratory LocationPediatric Resource Center901 East Boulevard, Charlotte, NC 28203

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER EGAN M.D.

Pathology (Clinical Pathology/Laboratory Medicine)