PINNACLE HEALTH SERVICES OF NORTH CAROLINA, LLC (NPI# 1598959934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598959934 |
Entity Type | Organization |
Organization Name | PINNACLE HEALTH SERVICES OF NORTH CAROLINA, LLC |
Other Organization Name | RALEIGH RADIOLOGY WAKE FOREST |
Practice Address |
839 Durham Rd Suite A Wake Forest NC 27587-8793 |
Mailing Address |
840 Crescent Centre Dr Suite 200 Franklin TN 37067-4626 |
Practice Telephone | 9195323430 |
Practice Fax Number | 9198775480 |
Mailing Telephone | 6155506049 |
Mailing Fax Number | 6155506004 |
Enumeration Date | 2007-08-29 |
Last Update Date | 2017-03-28 |
Authorized Official Name | MR. WILLIAM PERRY BAKER (CHIEF FINANCIAL OFFICER) |
Authorized Official Telephone | 6155506049 |
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 | BLUE CROSS | 001462197 | 01 |
NC | 5913216 | 05 |
Other Name | Type Code |
---|---|
Raleigh Radiology Wake Forest | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548454127 | Pinnacle Health Services of North Carolina, LLC | Physiological Laboratory | 166 Springbrook Ave, Suite 103, Clayton, NC 27520-8520 | 2007-08-28 |
Street Address |
839 DURHAM RD SUITE A |
City | WAKE FOREST |
State | NC |
Zip Code | 27587-8793 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831713080 | Catherine Restrepo | Speech-Language Pathologist | 900 S Franklin St, Ste 201, Wake Forest, NC 27587 | 2020-06-03 |
1942760277 | Samantha Fae Pugh | Occupational Therapist | 200 Dr. Calvin Jones Hwy, Suite 200, Wake Forest, NC 27587 | 2019-03-22 |
1851863609 | The Counseling Collective | Counselor | 1764 Heritage Center Drive, 204, Wake Forest, NC 27587 | 2018-12-18 |
1891270856 | Halston Hoke | Speech-Language Pathologist | 620 Dr. Calvin Jones Hwy Ste 200, Wake Forest, NC 27587 | 2018-09-26 |
1710465620 | Amy K Tarnowski | Physical Therapist | The Lodge At Wake Forest, 1151 South Main Street, Wake Forest, NC 27587 | 2018-08-02 |
1518452341 | Language and Literacy 365, Pllc | Speech-Language Pathologist | 956 Templeridge Rd, Wake Forest, NC 27587 | 2018-06-25 |
1467951723 | Justin Mitchell | Physical Therapist | 843 Durham Rd Suite 110, Wake Forest, NC 27587 | 2018-02-01 |
1124544499 | Carolina Concussion & Physical Medicine, Pllc | Chiropractor | 120 Capcom Aveune, Suite 104, Wake Forest, NC 27587 | 2017-08-18 |
1902293889 | Katherine Armine Lorch | Student in an Organized Health Care Education/Training Program | 3000 Rogers Road Ste 210, Wake Forest, NC 27587 | 2015-04-18 |
1437553302 | Raleigh Durham Medical Group, Pa | Family Medicine | 620 Dr Calvin Jones Highway, Ste 212, Wake Forest, NC 27587 | 2014-10-21 |
Find all providers in zip 27587 |
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 |
---|---|---|---|---|
1619431277 | Duke University Health System Inc | Physiological Laboratory | 3000 Rogers Rd, Wake Forest, NC 27587-3800 | 2019-01-29 |
1619462694 | Duke University Health System Inc | Physiological Laboratory | 3000 Rogers Rd, Wake Forest, NC 27587-3800 | 2018-06-22 |
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 |
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 |
1265538342 | Carolina Vascular Laboratory | Physiological Laboratory | 420 5th Ave W, Suite 100, Hendersonville, NC 28739-4202 | 2006-09-15 |
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 | WAKE FOREST |
Zip Code | 27587 |
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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.