Provider Demographics
NPI:1922230143
Name:LEXMEDICAL, INC.
Entity type:Organization
Organization Name:LEXMEDICAL, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:LEIGH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SHIPWASH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-238-4059
Mailing Address - Street 1:PO BOX 1537
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27293-1537
Mailing Address - Country:US
Mailing Address - Phone:336-243-4656
Mailing Address - Fax:336-243-4664
Practice Address - Street 1:10 MEDICAL PARK DR
Practice Address - Street 2:STE 5
Practice Address - City:LEXINGTON
Practice Address - State:NC
Practice Address - Zip Code:27292-5075
Practice Address - Country:US
Practice Address - Phone:336-238-4059
Practice Address - Fax:336-236-4684
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-21
Last Update Date:2009-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2007-00166207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical PathologyGroup - Multi-Specialty