Healthcare Provider Details

I. General information

NPI: 1245206697
Provider Name (Legal Business Name): SPECTRUM INFUSION, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2006
Last Update Date: 03/07/2023
Certification Date: 05/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3221 BLUE RIDGE RD SUITE 101
RALEIGH NC
27612-8063
US

IV. Provider business mailing address

3221 BLUE RIDGE RD SUITE 101
RALEIGH NC
27612-8063
US

V. Phone/Fax

Practice location:
  • Phone: 919-781-2241
  • Fax: 919-781-7060
Mailing address:
  • Phone: 919-781-2241
  • Fax: 919-781-7060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number6231
License Number StateNC

VIII. Authorized Official

Name: MR. ALAN W KNIGHT
Title or Position: PRESIDENT
Credential: RPH
Phone: 919-781-2241