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NPI Code Detail

MEDICARE: LABS @YOUR DOOR CONCIERGE SERVICE

MEDICARE: LABS @YOUR DOOR CONCIERGE SERVICE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QH0100XHealth Service Clinic/Center

General Provider Information

NPI Number : 1124470802
Entity Type Code : Organization
Provider Name (Legal Business Name) : LABS @YOUR DOOR CONCIERGE SERVICE
Provider Business Mailing Address
First Line : 5540 CENTERVIEW DR STE 200
Second Line :
City : RALEIGH
State : NC
Zip : 27606-3386
Country : US
Telephone Number : 919-327-1839
Fax Number :
Provider Business Practice Location Address
First Line : 5540 CENTERVIEW DR STE 200
Second Line :
City : RALEIGH
State : NC
Zip : 27606-3386
Country : US
Telephone Number : 919-327-1839
Fax Number :
Authorized Official
Title or Position : ORGANIZER
Name : CARLA TIMBO
Credential :
Telephone Number : 984-242-8037
Provider Enumeration Date : 07/06/2016
Last Update Date : 07/06/2016

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Directions to “LABS @YOUR DOOR CONCIERGE SERVICE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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