CAROLINA OUTREACH, LLC (NPI# 1043625353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043625353 |
| Entity Type | Organization |
| Organization Name | CAROLINA OUTREACH, LLC |
| Practice Address |
2670 Durham Chapel Hill Blvd Durham NC 27707 |
| Mailing Address |
2670 Durham Chapel Hill Blvd Durham NC 27707-2829 |
| Practice Telephone | 9192519001 |
| Practice Fax Number | 9192519008 |
| Mailing Telephone | 9192519001 |
| Mailing Fax Number | 9192519008 |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2018-08-09 |
| Authorized Official Name | ROB DAVIS (ADMIN SUPPORT) |
| Authorized Official Telephone | 9192519001 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | CLIA | 34D2085455 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134684392 | Carolina Outreach, LLC | Community/Behavioral Health | 324 Person St, Fayetteville, NC 28301-5736 | 2019-02-01 |
| 1669858510 | Carolina Outreach, LLC | Community/Behavioral Health | 5108 Reagan Dr Ste 13&14, Charlotte, NC 28206-3103 | 2015-08-03 |
| 1922431089 | Carolina Outreach, LLC | Community/Behavioral Health | 112 E Park Dr, Beulaville, NC 28518-6916 | 2013-08-13 |
| 1013340173 | Carolina Outreach, LLC | Community/Behavioral Health | 139 N Center St, Goldsboro, NC 27530-3620 | 2013-08-13 |
| 1902239130 | Carolina Outreach, LLC | Community/Behavioral Health | 608 Nash St Ne, Wilson, NC 27893-3045 | 2013-08-12 |
| 1124582432 | Carolina Outreach, LLC | Community/Behavioral Health | 2000 Yonkers Rd, Raleigh, NC 27604-2258 | 2019-01-31 |
| 1679956601 | Carolina Outreach, LLC | Community/Behavioral Health | 3325 Durham Chapel Hill Blvd Ste 210, Durham, NC 27707-2646 | 2015-07-08 |
| 1063802718 | Carolina Outreach, LLC | Clinical Medical Laboratory | 911 Hay St, Fayetteville, NC 28305-5313 | 2015-02-03 |
| 1427456524 | Carolina Outreach, LLC | Clinical Medical Laboratory | 3012 Falstaff Rd, Raleigh, NC 27610-1813 | 2014-12-05 |
| 1285054692 | Carolina Outreach, LLC | Community/Behavioral Health | 831 S Brightleaf Blvd, Smithfield, NC 27577 | 2014-04-24 |
| Street Address |
2670 DURHAM CHAPEL HILL BLVD |
| City | DURHAM |
| State | NC |
| Zip Code | 27707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982682910 | Brad Prinzhorn | Counselor | 2670 Durham Chapel Hill Blvd, Durham, NC 27707-2829 | 2006-01-09 |
| 1710588280 | Samantha Manzi | Social Worker | 2670 Durham Chapel Hill Blvd, Durham, NC 27707-2829 | 2020-11-02 |
| 1063011351 | Kashawnna Anthony | Social Worker | 2670 Durham Chapel Hill Blvd, Durham, NC 27707-2829 | 2020-10-19 |
| 1588262943 | Kelley Marrale | Social Worker | 2670 Durham Chapel Hill Blvd, Durham, NC 27707-2829 | 2020-10-16 |
| 1487266425 | Olivia Rosemarie Mclaughlin | Social Worker | 2670 Durham Chapel Hill Blvd, Durham, NC 27707-2829 | 2020-08-20 |
| 1467064329 | Shreya Gunna | Counselor | 2670 Durham Chapel Hill Blvd, Durham, NC 27707-2829 | 2020-08-20 |
| 1619595717 | Kristen Rebecca Degree | Social Worker | 2670 Durham Chapel Hill Blvd, Durham, NC 27707-2829 | 2020-07-06 |
| 1427673789 | Anne Helen Olivar | Counselor | 2670 Durham Chapel Hill Blvd, Durham, NC 27707-2829 | 2020-06-12 |
| 1932722030 | Meredith Pochily | Social Worker | 2670 Durham Chapel Hill Blvd, Durham, NC 27707-2829 | 2020-05-22 |
| 1982226163 | Rebecca Louise Jepson Godfrey | Social Worker | 2670 Durham Chapel Hill Blvd, Durham, NC 27707-2829 | 2020-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538785928 | Ceara Smith | Social Worker | 1415 W Nc 54 Buidling 200, Suite 111, Durham, NC 27707 | 2020-06-22 |
| 1114554094 | Lauren Michelle Grosse | Physician Assistant | Fastmed Urgent Care 7010 Nc-751, Durham, NC 27707 | 2020-03-23 |
| 1386289635 | Ashley Bailey | Counselor | 1801 Fayetteville Street, Durham, NC 27707 | 2019-11-11 |
| 1881249886 | Erin Ramona Leger | Physical Therapist | 3706 Mayfair St, Ste 120, Durham, NC 27707 | 2019-08-06 |
| 1417417262 | Carmen Elisabeth Sanchez | Psychologist | 3326 Durham Chapel Hill Blvd Bldg D, Durham, NC 27707 | 2019-03-20 |
| 1477026144 | Pope Behavioral Health and Wellness | Counselor | 5102 Chapel Hill Durham Blvd., Suite 101, Durham, NC 27707 | 2019-01-06 |
| 1043780778 | Jessica Ann Revels | Counselor | 1415 West North Carolina 54, Building 100 Suite # 204, Durham, NC 27707 | 2018-11-26 |
| 1558830125 | Michael Brown | Counselor | 1502 W Nc-54, Suite 505, Durham, NC 27707 | 2018-11-13 |
| 1780152827 | Cassandra Gerwig Shaw | Registered Nurse | 5324 Mcfarland Dr Ste 310, Durham, NC 27707 | 2018-11-07 |
| 1942776232 | Lisa J Keskitalo | Physical Therapist | 3708 Mayfair St Ste 120, Durham, NC 27707 | 2018-10-15 |
| Find all providers in zip 27707 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538799358 | Scipher Medicine Corporation | Clinical Medical Laboratory | 4134 S Alston Ave Ste 104, Durham, NC 27713-1870 | 2020-01-21 |
| 1295203909 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 4309 Medical Park Dr Ste 200, Durham, NC 27704-2389 | 2018-11-12 |
| 1447774641 | Metamark Genetics, Inc | Clinical Medical Laboratory | 1912 Tw Alexander Drive Rooms 243 & 250, Durham, NC 27709 | 2017-07-29 |
| 1356701742 | Almac Diagnostics LLC | Clinical Medical Laboratory | 4238 Technology Dr, Durham, NC 27704-2128 | 2016-02-29 |
| 1194005355 | Metabolon, Inc. | Clinical Medical Laboratory | 617 Davis Dr, Ste 400, Durham, NC 27713 | 2011-08-19 |
| 1386968675 | Opans, LLC | Clinical Medical Laboratory | 4134 S Alston Ave, Suite 102, Durham, NC 27713-1870 | 2010-03-16 |
| 1194995431 | The Wavewatch Group, Inc. | Clinical Medical Laboratory | 1925 W Cornwallis Rd, Durham, NC 27705-5707 | 2008-03-03 |
| 1689656480 | Duke University Health System Inc | Clinical Medical Laboratory | 3643 N Roxboro Road, Durham, NC 27704-2702 | 2005-11-17 |
| 1619296597 | Yoshihiro Tokuhisa | Clinical Medical Laboratory | 508 Fulton St, Durham, NC 27705-3875 | 2010-05-18 |
| 1326360579 | North Carolina Central University | Clinical Medical Laboratory | 1801 Fayetteville St, Old Health Building, Durham, NC 27707-3129 | 2010-02-15 |
| Find all providers in DURHAM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.