Organization · Type 2 NPI

NC Dept of Health and Human Service

Clinical Medical Laboratory · Raleigh, NC

NPI number 1235290651 Active

Practice location

4312 District Dr
Raleigh, NC 27607-5490

Call (919) 733-7834 Map

Fax (919) 733-8695

Mailing address

Msc 1918
Raleigh, NC 27699-1918

Specialties and licenses

Taxonomy	Code	License
Clinical Medical Laboratory Primary	291U00000X	34D0692393 (NC)

Clinical Medical Laboratory: (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 det…

4 other providers at this address

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NPI record

NPI: 1235290651
Entity type: Organization (Type 2)
Issued: Dec 12, 2006
Last updated: Feb 19, 2024
Status: Active
Subpart: Yes of State of NC Division of Health Services

Other names

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North Carolina State Laboratory of Public Health · doing business as
Ncslph · other name

Authorized official

Dr. Scott Michael Shone, PhD, HCLD(ABB)
Laboratory Director
(919) 807-8990

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1235290651

NC Dept of Health and Human Service's National Provider Identifier is 1235290651, issued on Dec 12, 2006. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Raleigh, NC. The record was last updated on Feb 19, 2024.