Healthcare Provider Details

I. General information

NPI: 1982632915
Provider Name (Legal Business Name): UNC ORAL & MAXILLOFACIAL PATHOLOGY LABORATORY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2006
Last Update Date: 06/11/2025
Certification Date: 06/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 DENTAL CIR 5603 KOURY OHSB CB 7450
CHAPEL HILL NC
27599-0001
US

IV. Provider business mailing address

150 DENTAL CIR 5603 KOURY OHSB CB 7450
CHAPEL HILL NC
27599-0001
US

V. Phone/Fax

Practice location:
  • Phone: 919-537-3153
  • Fax: 919-843-6508
Mailing address:
  • Phone: 919-537-3153
  • Fax: 919-843-6508

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223P0106X
TaxonomyOral and Maxillofacial Pathology Dentistry
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: DR. VALERIE ANN MURRAH
Title or Position: LABORATORY DIRECTOR
Credential: D.M.D.
Phone: 919-537-3152