MEDICARE: ARTERIAL HEALTH OF NC, LLC

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
1	293D00000X	Physiological Laboratory

General Provider Information

NPI Number	:	1881953941
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARTERIAL HEALTH OF NC, LLC

Provider Business Mailing Address
First Line	:	3340 PEACHTREE RD NE
Second Line	:	SUITE 1800
City	:	ATLANTA
State	:	GA
Zip	:	30326-1000
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4819 EMPEROR BLVD
Second Line	:	SUITE 400
City	:	DURHAM
State	:	NC
Zip	:	27703-5420
Country	:	US
Telephone Number	:	919-313-4575
Fax Number	:

Authorized Official
Title or Position	:	COO
Name	:	NEIL LANSING
Credential	:
Telephone Number	:	404-814-5396

Provider Enumeration Date	:	05/10/2012
Last Update Date	:	05/10/2012

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