NORTH CAROLINA CENTRAL UNIVERSITY (NPI# 1326360579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326360579 |
| Entity Type | Organization |
| Organization Name | NORTH CAROLINA CENTRAL UNIVERSITY |
| Other Organization Name | STUDENT HEALTH AND COUNSELING SERVICE LABORATORY |
| Practice Address |
1801 Fayetteville St Old Health Building Durham NC 27707-3129 |
| Mailing Address |
1801 Fayetteville St Po Box 19491 Durham NC 27707-3129 |
| Practice Telephone | 9195306317 |
| Practice Fax Number | 9195306650 |
| Mailing Telephone | 9195306317 |
| Mailing Fax Number | 9195306650 |
| Enumeration Date | 2010-02-15 |
| Last Update Date | 2010-02-15 |
| Authorized Official Name | MR. CHARLES BOWEN (DIRECTOR OF STUDENT HELATH) |
| Authorized Official Telephone | 9195307908 |
| Authorized Official Credential | RN, MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 34D0688623 | NC | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | PEARCE AND PEARCE | AIH0085120 | 01 |
| Other Name | Type Code |
|---|---|
| Student Health and Counseling Service Laboratory | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508237850 | North Carolina Central University | Orthopaedic Surgery | 1801 Fayetteville St, Durham, NC 27707-3129 | 2015-10-13 |
| 1336462514 | North Carolina Central University | Clinic/Center | 1801 Fayetteville St, Old Health Building, Durham, NC 27707-3129 | 2010-03-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NORTH CAROLINA CENTRAL UNIVERSITY | 1801 Fayetteville St, Durham, NC 27707-3129 |
| Street Address |
1801 FAYETTEVILLE ST OLD HEALTH BUILDING |
| City | DURHAM |
| State | NC |
| Zip Code | 27707-3129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487645321 | Jason L. Swartz | Pharmacist | 1801 Fayetteville St, Durham, NC 27707-3129 | 2005-10-31 |
| 1316589203 | Reginald Fennell | Nurse Practitioner | 1801 Fayetteville St, Durham, NC 27707-3129 | 2019-10-11 |
| 1881174878 | Jaela Marie Wilson | Physical Medicine & Rehabilitation | 1801 Fayetteville St, Durham, NC 27707-3129 | 2018-08-19 |
| 1306333943 | Emily K Kahn | Nurse Practitioner | 1801 Fayetteville St, Durham, NC 27707-3129 | 2018-04-19 |
| 1639605769 | Colin Gregory Biegas | Specialist/Technologist | 1801 Fayetteville St, Durham, NC 27707-3129 | 2017-05-10 |
| 1194251223 | Lorianne Tant | Specialist/Technologist | 1801 Fayetteville St, B103 Walker Complex, Durham, NC 27707-3129 | 2017-05-10 |
| 1083140198 | Adrian Gaddis | Specialist/Technologist | 1801 Fayetteville St, B103 Walker Complex, Durham, NC 27707-3129 | 2017-05-10 |
| 1235665779 | Sean Thomas | Specialist/Technologist | 1801 Fayetteville St, Box 19705, Durham, NC 27707-3129 | 2017-05-03 |
| 1669918942 | Danielle Lungelow | Registered Nurse | 1801 Fayetteville St, Durham, NC 27707-3129 | 2017-01-11 |
| 1265898274 | Carolyn Moore | Psychologist | 1801 Fayetteville St, Durham, NC 27707-3129 | 2016-01-06 |
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| 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 |
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| 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 |
| 1043625353 | Carolina Outreach, LLC | Clinical Medical Laboratory | 2670 Durham Chapel Hill Blvd, Durham, NC 27707 | 2014-06-25 |
| 1619296597 | Yoshihiro Tokuhisa | Clinical Medical Laboratory | 508 Fulton St, Durham, NC 27705-3875 | 2010-05-18 |
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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.