CAROLINA MEDICAL LAB GROUP INC.
NPI 1992700124
Clinical Medical Laboratory in Charlotte, NC

Active since June 15, 2005
1815 BACK CREEK DR, CHARLOTTE, NC 28213(704) 598-8818 Get Directions Write a Review

NPPES record last updated: July 27, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Carolina Medical Lab Group Inc. NPPES

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

CAROLINA MEDICAL LAB GROUP INC. (NPI 1992700124) is a healthcare organization registered as a clinical medical laboratory in Charlotte, North Carolina and active in the NPI registry since June 2005. The organization lists Osama Idlibi, Vice President, as its authorized official.

NPPES Registry Identity

NPI1992700124
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameCAROLINA MEDICAL LAB GROUP INC.
Location Address1815 BACK CREEK DRCharlotte, NC 28213-2159
Mailing Address1815 Back Creek DrCharlotte, NC 28213-2159
Organization SubpartNo
Authorized OfficialOsama IdlibiVice President · (704) 598-8818
Enumeration DateJune 15, 2005
Last NPPES UpdateJuly 27, 2009
✔ NPI 1992700124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
License✔ Licensed in NC · 34D0946272
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
1815 BACK CREEK DR, Charlotte, NC 28213

Other Identifiers 2

Medicare PIN2552667NC
Medicaid7001214NC

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carolina Medical Lab Group Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNorth CarolinaEnrollment IDO20090728000226Non-DME Part B · Independent Clinical LaboratoryDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Carolina Medical Lab Group Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Pathology
NPI 1962407189
1815 BACK CREEK DR
Charlotte, NC 28213
(704) 598-8818
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 170

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled P9603
This service covers travel costs for healthcare professionals to collect necessary lab specimens from patients who are homebound or in nursing homes. The allowance is calculated based on the actual miles traveled to perform this service.
410,653 services2,213 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
11,804 services5,291 patients
Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) G0471
This procedure involves obtaining a blood sample from a vein (venipuncture) or a urine sample via a tube (catheterization). It's performed in a skilled nursing facility or by a lab for a home health agency. This helps in diagnosing and monitoring health conditions.
10,049 services2,240 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
9,191 services5,164 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
9,145 services4,392 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
6,061 services4,085 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carolina Medical Lab Group Inc.'s NPI number?

The NPI number for Carolina Medical Lab Group Inc. is 1992700124. It was assigned to this organization in the NPPES registry on June 15, 2005.

Where is Carolina Medical Lab Group Inc. located?

Carolina Medical Lab Group Inc. is located at 1815 Back Creek Dr, Charlotte, NC 28213. The listed phone number is (704) 598-8818.

What is Carolina Medical Lab Group Inc.'s specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Is Carolina Medical Lab Group Inc. enrolled in Medicare?

Yes. Carolina Medical Lab Group Inc. is registered in the Medicare PECOS enrollment system.

When is Carolina Medical Lab Group Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (North Carolina, Independent Clinical Laboratory) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Carolina Medical Lab Group Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pathology) reassigns their Medicare billing to Carolina Medical Lab Group Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Carolina Medical Lab Group Inc. accept?

Health plans from Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina and InStil Health list Carolina Medical Lab Group Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carolina Medical Lab Group Inc. was last updated on July 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.