MR. ROBERT EDWIN GOODE II


Address: 5315 Dana Dr, Apartment G, Raleigh, NC 27606-2369
Phone: 9198968585

MR. ROBERT EDWIN GOODE II (NPI# 1083963888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083963888
Entity Type Individual
Full Name MR. ROBERT EDWIN GOODE II
Credential MLT
Practice Address 5315 Dana Dr
Apartment G
Raleigh
NC 27606-2369
Practice Telephone 9198968585
Mailing Telephone 9198968585
Enumeration Date 2012-09-07
Last Update Date 2012-09-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 246RM2200X Technician, Pathology
Specialization: Medical Laboratory
79516 NC Technologists, Technicians & Other Technical Service Providers

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Office Location

Street Address 5315 DANA DR
APARTMENT G
City RALEIGH
State NC
Zip Code 27606-2369

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Taxonomy Information

Taxonomy Code 246RM2200X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Technician, Pathology
Specialization Medical Laboratory

Taxonomy Definition

Definition to come...

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1235585282 Ashley Nicole Whitt Technician, Pathology 1059 Matchstick Pl Sw, Concord, NC 28025-4706 2016-05-09
1427256668 Cynthia Rita Backus Technician, Pathology Womac Army Medical Hospital, Fort Bragg, NC 28310-0001 2007-07-10
1811432925 Caring Hands Medical Lab Services LLC Technician, Pathology 91 Finley Ct, Clayton, NC 27520 2016-12-28
1952856338 Dalila Fryar Technician, Pathology 530 Rosenwald St, Burlington, NC 27217-2468 2016-08-16
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Competitor

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City RALEIGH
Zip Code 27606

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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