Organization
NORTH CAROLINA CENTRAL UNIVERSITY
Active
Parent organization
NORTH CAROLINA CENTRAL UNIVERSITY
Other names
Student Health and Counseling Service Laboratory
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTH CAROLINA CENTRAL UNIVERSITY
Authorized official
MRS. IESCHECIA NYTONYA GRAHAM ALLEN M.S., RHIT (EXECUTIVE DIRECTOR)
(919) 530-7908
Entity
Organization
Contact information
Practice address
200 CAFETERIA DRIVE, STUDENT HEALTH BUILDING, DURHAM, NC 27707-0020
(919) 530-6317
(919) 530-7969
Mailing address
P.O. BOX 19491, STUDENT HEALTH BUILDING, DURHAM, NC 27707-0020
(919) 530-6317
(919) 530-7969
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
34D0688623
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AIH0085120
PEARCE AND PEARCE
NC
Enumeration date
02/15/2010
Last updated
02/13/2025
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