Carolina Outreach, Llc

LBN: Carolina Outreach, Llc
Carolina Outreach, Llc is an health care organization with primary practice located at 911 Hay St , Fayetteville NC 28305-5313. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Carolina Outreach, Llc can be contacted via phone (910) 438-0939, or through Davis, Rob via phone (919) 251-9001.

Contact Information

Primary practice address
911 Hay St Fayetteville NC 28305-5313
Phone: (910) 438-0939
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Davis, Rob
Phone: (919) 251-9001

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X 34D2070270 North Carolina

Profile Details

NPI number 1063802718
LBN Legal business name Carolina Outreach, Llc
DBA Doing business as
Authorized official Davis, Rob
Entity Organization
Organization subpart 1 No
Enumeration date Feb 3rd, 2015
Last updated Feb 3rd, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063802718 NPPES
North Carolina Other 34D2085455 CLIA CERTIFICATION

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