Organization
CHARLENE LYDIA BLAINE
Active
Other names
Respi-Test Independent Lab
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHARLENE LYDIA BLAINE CRT, RCP (PRESIDENT)
(919) 359-9920
Entity
Organization
Contact information
Practice address
11048 CLEVELAND ROAD, SUITE 101-102, GARNER, NC 27529
(919) 359-9920
(919) 359-2520
Mailing address
11048 CLEVELAND ROAD, SUITE 101-102, GARNER, NC 27529
(919) 359-9920
(919) 359-2520
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
9500533
NC
207RS0012X
Sleep Medicine (Internal Medicine) Physician
9500533
NC
2278P1004X
Pulmonary Diagnostics Certified Respiratory Therapist
A-4125
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017PY
BCBSNC
NC
01
—
3500316
UNITED HEALTHCARE
NC
01
—
37119
PARTNERS
NC
01
—
429202
WELLPATH
NC
05
—
5902258
—
NC
Enumeration date
10/31/2005
Last updated
06/16/2008
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