Charlene Lydia Blaine in Garner - Pulmonary Diagnostics
Charlene Lydia Blaine - NPI 1063403160
Charlene Lydia Blaine is a Pulmonary Diagnostics in Garner, North Carolina. Charlene Lydia Blaine practices all healthcare services and medical treatments related to Pulmonary Diagnostics. The NPI Number for Charlene Lydia Blaine is 1063403160. The last update date is 2008-06-16.
Charlene Lydia Blaine's current location address is 11048 Cleveland Road, Garner, North Carolina. You can contact this provider via phone number 9193599920 and fax number 9193592520. The mailing address for Charlene Lydia Blaine is 11048 Cleveland Road, Garner, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Charlene Lydia Blaine |
|---|---|
| Address | 11048 Cleveland Road, Garner, North Carolina |
| Phone Number | 9193599920 |
| Fax Number | 9193592520 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Blaine Lydia Charlene |
| Credentials | CRT, RCP |
| Telephone Number | 9193599920 |
NPI Number Detail
| NPI Number | 1063403160 |
|---|---|
| Provider Enumeration Date | 2005-10-31 |
| Last Updated Date | 2008-06-16 |
Provider Mailing Address Detail
| Address | 11048 Cleveland Road |
|---|---|
| City | Garner |
| State | North Carolina (NC) |
| Post Code | 27529 |
| Phone Number | 9193599920 |
| Fax Number | 9193592520 |
Provider's Primary Taxonomy Detail
| Speciality | Pulmonary Diagnostics |
|---|---|
| Taxonomy | 2278P1004X |
| Licence No | A-4125 |
|
Definition: Included in the area of pulmonary diagnostics are the following; collection and analysis of physiological specimens, interpretation of physiological data, administration of tests of the cardiopulmonary system, and the conduct of both neurophysiologic |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 017PY | NC | BCBSNC | |
| 37119 | NC | PARTNERS | |
| 429202 | NC | WELLPATH | |
| 3500316 | NC | UNITED HEALTHCARE | |
| 5902258 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Charlene Lydia Blaine by the Centers for Medicare & Medicaid Services?
The Charlene Lydia Blaine has been assigned the NPI (National Provider Identifier) 1063403160 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Charlene Lydia Blaine's facilities are situated?
The facilities of Charlene Lydia Blaine are physically located at the following address: 11048 Cleveland Road, Garner, NC, 27529.
What is the area of specialization for Charlene Lydia Blaine, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Charlene Lydia Blaine is Pulmonary Diagnostics, and the corresponding taxonomy code that categorizes this area of expertise is 2278P1004X.
On what date did the Charlene Lydia Blaine receive the assignment of its 1063403160 from the Centers for Medicare & Medicaid Services?
The Charlene Lydia Blaine was issued its 1063403160 by the Centers for Medicare & Medicaid Services on 2005-10-31.
As of what date were the Charlene Lydia Blaine's details last updated?
The information pertaining to the Charlene Lydia Blaine, including its address, specialty, and other details, was most recently updated on 2008-06-16.
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