CAROLINA VASCULAR LABORATORY (NPI# 1265538342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265538342 |
| Entity Type | Organization |
| Organization Name | CAROLINA VASCULAR LABORATORY |
| Practice Address |
420 5th Ave W Suite 100 Hendersonville NC 28739-4202 |
| Practice Telephone | 8286963833 |
| Practice Fax Number | 8286936629 |
| Mailing Telephone | 8286963833 |
| Mailing Fax Number | 8286936629 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DAVID L GLENN JR. (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8286963833 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8935971 | 05 | |
| NC | BLUE CROSS BLUE SHIELD NC | 0194R | 01 |
| Street Address |
420 5TH AVE W SUITE 100 |
| City | HENDERSONVILLE |
| State | NC |
| Zip Code | 28739-4202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518369537 | Hendersonville Aesthetics and Vein Center LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 420 5th Ave W, Suite 100, Hendersonville, NC 28739-4202 | 2014-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891321972 | Christopher D. Planer, Dds, Pllc | Dentist | 120 Chadwick Square Ct. Ste. B, Hendersonville, NC 28739 | 2020-03-20 |
| 1205360401 | Lindsey Stalcup | Skilled Nursing Facility | 1510 Hebron Street, Hendersonville, NC 28739 | 2017-04-13 |
| 1710138458 | Beth Ellen Fink | Occupational Therapy Assistant | 1870 Pisqah Rd, Hendersonvill, NC 28739 | 2008-09-30 |
| 1164604468 | Susan B Anton | Social Worker | 128 Stoney Brook Road, Hendersonville, NC 28739 | 2007-11-29 |
| 1821280215 | America's Living Centers LLC | Custodial Care Facility | 1308 Hebron Street, Hendersonville, NC 28739 | 2007-08-10 |
| 1922216548 | Parris Shoe World Inc | Durable Medical Equipment & Medical Supplies | 141 Sugarloaf Road, Suite B, Hendersonville, NC 28739 | 2007-05-18 |
| 1912078569 | Carl Steven Edney | Dentist | 689 Blythe Street Court, Hendersonville, NC 28739 | 2006-11-13 |
| 1417049867 | Fifth Avenue Internal Medicine and Geriatrics Pa | Internal Medicine | 724 Fifth Avenue West, Hendersonville, NC 28739 | 2006-09-29 |
| 1992804124 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 1707 Brevard Road, Hendersonville, NC 28739 | 2006-09-22 |
| 1194833301 | Deborah Lea Schusler | Dentist | 506 Park Hill Ct, Suite 3, Hendersonville, NC 28739 | 2006-08-28 |
| Find all providers in zip 28739 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114953700 | Nvms of Kentucky LLC | Physiological Laboratory | 100 Bluegrass Commons Blvd, Ste 150, Hendersonville, TN 37075-2737 | 2006-06-24 |
| 1447280375 | Nvms LLC | Physiological Laboratory | 100 Bluegrass Commons Blvd, Ste 150, Hendersonville, TN 37075-2737 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457980401 | Duke University Health System | Physiological Laboratory | 401 Irving Pkwy Ste 120, Holly Springs, NC 27540-5301 | 2020-04-02 |
| 1457725889 | Braincare, LLC | Physiological Laboratory | 401 N Tryon St, Ste 1120, Charlotte, NC 28202-2196 | 2015-11-23 |
| 1164846010 | Southern Diagnostic Imaging, Inc. | Physiological Laboratory | 10 Parkside Pl, Asheville, NC 28804-1324 | 2014-02-13 |
| 1154656411 | Regional Health Diagnostics Inc | Physiological Laboratory | 38 Office Park Dr, Jacksonville, NC 28546-3217 | 2009-10-05 |
| 1710136791 | Durham Vamc/duke University Medical Center | Physiological Laboratory | Msrb II 106 Research Dr, Room 2018, Durham, NC 27710-0001 | 2008-09-15 |
| 1598959934 | Pinnacle Health Services of North Carolina, LLC | Physiological Laboratory | 839 Durham Rd, Suite A, Wake Forest, NC 27587-8793 | 2007-08-29 |
| 1780714220 | Metrolina Sleep Services, LLC | Physiological Laboratory | 6428 Bannington Rd, Suite A, Charlotte, NC 28226-1327 | 2007-03-06 |
| 1780784520 | Cga, Inc. | Physiological Laboratory | 3905 Skipton Ct, Raleigh, NC 27606-4448 | 2006-09-22 |
| 1457300089 | Pinnacle Health Services of North Carolina LLC | Physiological Laboratory | 1212 Cedarhurst Dr, Raleigh, NC 27609-5587 | 2006-05-10 |
| 1326009457 | Mobile Visions Inc | Physiological Laboratory | 3330 Healy Dr Ste 100, Winston Salem, NC 27103-2024 | 2006-03-29 |
| Find all providers with the same taxonomy | ||||
| City | HENDERSONVILLE |
| Zip Code | 28739 |
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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.