Organization · Type 2 NPI

Hereditary Care Center

Genetics Clinic/Center · Raleigh, NC

NPI number 1093177404 Active

Practice location

10941 Raven Ridge Rd, Suite 107
Raleigh, NC 27614-6487

Fax (919) 847-7471

Specialties and licenses

Taxonomy	Code	License
Genetic Counselor (M.S.)	170300000X	None listed
Gynecology Physician	207VG0400X	9701567 (NC)
Genetics Clinic/Center Primary	261QG0250X	None listed

Genetics Clinic/Center: An entity, facility, or distinct part of a facility providing analysis of family history, genetic laboratory testing and analysis, diagnosis of genetic trait, prognosis and options. Laboratory studies may be outsourced.

16 other providers at this address

NPI record

NPI: 1093177404
Entity type: Organization (Type 2)
Issued: Mar 24, 2016
Last updated: Mar 24, 2016
Status: Active
Subpart: Yes of Gynecology & Laparoscopic Surgeons, PC

Other names

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Hereditary Care Center · doing business as

Authorized official

Dr. Lisa M Roberts, MD
Medical Director
(919) 847-7475

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About NPI 1093177404

Hereditary Care Center's National Provider Identifier is 1093177404, issued on Mar 24, 2016. The primary taxonomy on file is Genetics Clinic/Center (261QG0250X), and the practice location is in Raleigh, NC. The record was last updated on Mar 24, 2016.