is a Physiological Laboratory in Huntersville, North Carolina. practices all healthcare services and medical treatments related to Physiological Laboratory. The NPI Number for is 1447201017. The last update date is .
's current location address is 10030 Gilead Rd, Huntersville, North Carolina. You can contact this provider via phone number 7043165535. The mailing address for is 10030 Gilead Rd, Huntersville, North Carolina. To know further, please read the information below!
Provider Profile Detail
Provider Name | |
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Address | 10030 Gilead Rd, Huntersville, North Carolina |
Phone Number | 7043165535 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1447201017 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | 10030 Gilead Rd |
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City | Huntersville |
State | North Carolina (NC) |
Post Code | 2807875450 |
Phone Number | 7043165535 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Physiological Laboratory |
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Taxonomy | 293D00000X |
Definition: A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratorie |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
5917803 | NC | -- | |
2881786B | NC | MEDICARE PTAN | |
615320501 | NC | NC DOL | |
P00191119 | RAILROAD MEDICARE | ||
16-02288 | UHC |
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