Healthcare Provider Details

I. General information

NPI: 1730016668
Provider Name (Legal Business Name): BHW DIAGNOSTICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 N MARKET ST STE D-200
BENSON NC
27504-1514
US

IV. Provider business mailing address

101 N MARKET ST STE D-200
BENSON NC
27504-1514
US

V. Phone/Fax

Practice location:
  • Phone: 919-404-9006
  • Fax: 919-661-8195
Mailing address:
  • Phone: 919-404-9006
  • Fax: 919-661-8195

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: DR. KATINA BLUE
Title or Position: OWNER
Credential:
Phone: 919-696-1296