# LRC TESTING CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306649710
- **Authorized official:** JAZMINE MCFADDEN CADC (CLINICAL DIRECTOR)
- **Authorized official phone:** (803) 404-7789

## Contact information

- **Practice address:** 11709 FRUEHAUF DR STE 113, CHARLOTTE, NC 28273-7285
- **Practice address phone:** (803) 713-5283
- **Mailing address:** 11709 FRUEHAUF DR STE 113, CHARLOTTE, NC 28273-7285

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | — |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | Yes |
| 291U00000X | Clinical Medical Laboratory | — | NULL | — |

## Other

- **Enumeration date:** 03/31/2025
- **Last updated:** 03/31/2025