NORTH CAROLINA STATE LABORATORY OF PUBLIC HEALTH (NPI# 1235290651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235290651 |
| Entity Type | Organization |
| Organization Name | NORTH CAROLINA STATE LABORATORY OF PUBLIC HEALTH |
| Other Organization Name | NCSLPH |
| Practice Address |
4312 District Dr Raleigh NC 27607-5490 |
| Mailing Address |
Po Box 28047 Raleigh NC 27611-8047 |
| Practice Telephone | 9197337834 |
| Practice Fax Number | 9197338695 |
| Mailing Telephone | 9197337834 |
| Mailing Fax Number | 9197338695 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2013-02-06 |
| Authorized Official Name | DR. SCOTT J ZIMMERMAN (LABORATORY DIRECTOR) |
| Authorized Official Telephone | 9198078990 |
| Authorized Official Credential | DRPH |
| Is Organization Subpart | Y |
| Parent Organization Name | STATE OF NC DIVISION OF HEALTH SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 34D0692393 | NC | Laboratories |
| Other Name | Type Code |
|---|---|
| NCSLPH | Other Name - Individual/Organization |
| Street Address |
4312 DISTRICT DR |
| City | RALEIGH |
| State | NC |
| Zip Code | 27607-5490 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174131627 | Craig Nelson | Pathology | 4312 District Dr, Raleigh, NC 27607-5490 | 2020-07-21 |
| 1801270053 | Nc Ocme | Clinical Medical Laboratory | 4312 District Dr, Raleigh, NC 27607-5490 | 2015-07-17 |
| 1306192836 | Adesuwa Tracy Egharevba | Student in an Organized Health Care Education/Training Program | 4312 District Dr, Raleigh, NC 27699-7708 | 2012-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972093144 | Kyndra Lawson | Behavior Technician | 5121 Kingdom Way, Suite 100, Raleigh, NC 27607 | 2018-05-14 |
| 1578082905 | Margaret Roberts Bova | Dietitian, Registered | 4207 Lake Boone Trail, Suite 210, Raleigh, NC 27607 | 2017-09-18 |
| 1184141897 | Chricat Garrard | Nurse Practitioner | 4207 Lake Boone Trl Ste 200, Raleigh, NC 27607 | 2017-08-23 |
| 1487178620 | John Patrick Morton | Pharmacist | 2411 Landmark Dr, Raleigh, NC 27607 | 2017-07-31 |
| 1023538857 | Heather Margaret Mazzola | Audiologist | 7800 Lake Boone Trail, 100, Raleigh, NC 27607 | 2017-06-22 |
| 1790216984 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2411 Landmark Drive, Raleigh, NC 27607 | 2017-03-21 |
| 1558819516 | Corilin Nocito Meggitt | Nurse Practitioner | 4505 Fair Meadows Ln Ste 102, Raleigh, NC 27607 | 2016-09-19 |
| 1942757034 | Stacie Walker | Obstetrics & Gynecology | 4414 Lake Boone Trl Ste 311, Raleigh, NC 27607 | 2016-09-06 |
| 1831644533 | Alisa Smajlagic Howe | Nurse Practitioner | 4210 Lake Boone Trail, Rex Rehab & Nursing Center, Raleigh, NC 27607 | 2016-08-23 |
| 1235598632 | Yoseph Saleh | Dentist | 107 Minden Ln, Raleigh, NC 27607 | 2016-02-15 |
| Find all providers in zip 27607 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | 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 determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659987170 | Wakemed | Clinical Medical Laboratory | Wakemed Raleigh Reference, 3000 New Bern Avenue, Raleigh, NC 27610-1295 | 2020-09-21 |
| 1417446006 | Eagles Eye Lab, Inc | Clinical Medical Laboratory | 4501 New Bern Ave, Ste: 130, Raleigh, NC 27610 | 2018-05-09 |
| 1619481488 | Sailabllc | Clinical Medical Laboratory | 3813 Junction Blvd, Raleigh, NC 27603-5264 | 2017-11-30 |
| 1134538713 | Mako Medical Laboratories, LLC | Clinical Medical Laboratory | 8461 Garvey Dr, Raleigh, NC 27616-3176 | 2014-08-07 |
| 1275872905 | Unc Physicians Network Group Practices, LLC | Clinical Medical Laboratory | 8300 Health Park Dr., Suite #320, Raleigh, NC 27615-4731 | 2013-01-31 |
| 1598088239 | Consortia Laboratories, Inc. | Clinical Medical Laboratory | 9417 Collingdale Way, Raleigh, NC 27617-5913 | 2010-03-09 |
| 1265685705 | Millennium Laboratory Corporation | Clinical Medical Laboratory | 3362 Six Forks Rd, Raleigh, NC 27609-7233 | 2008-10-28 |
| 1639299357 | Care One Nursing Service Inc | Clinical Medical Laboratory | 331 Tryon Rd, Suite 101, Raleigh, NC 27603-3571 | 2007-03-29 |
| 1053396705 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 8300 Health Park, Ste 223, Raleigh, NC 27615-4730 | 2005-12-14 |
| 1194700583 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1001 Rock Quarry Rd, Raleigh, NC 27610-3825 | 2005-12-08 |
| Find all providers in RALEIGH | ||||
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| 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.