Organization
CAROLINA OUTREACH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROB DAVIS (ADMIN SUPPORT)
(919) 251-9001
Entity
Organization
Contact information
Practice address
2670 DURHAM CHAPEL HILL BLVD, DURHAM, NC 27707
(919) 251-9001
(919) 251-9008
Mailing address
2670 DURHAM CHAPEL HILL BLVD, DURHAM, NC 27707-2829
(919) 251-9001
(919) 251-9008
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34D2085455
CLIA
NC
Enumeration date
06/25/2014
Last updated
08/09/2018
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