Organization
ENVEINA SERVICE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAWANIA MCDUFFIE CPI, CPT, AA (PHLEBOTOMIST)
(919) 638-5550
Entity
Organization
Contact information
Practice address
1405 OLD OXFORD RD STE F, DURHAM, NC 27704-8779
(919) 638-5550
Mailing address
1308 BENT WILLOW DR, DURHAM, NC 27704-1969
(919) 638-5550
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
12/06/2022
Last updated
06/08/2023
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