Organization
OPANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN D POWDERLY II MD (LABORATORY DIRECTOR)
(919) 323-4300
Entity
Organization
Contact information
Practice address
4134 S ALSTON AVE, SUITE 102, DURHAM, NC 27713-1870
(919) 323-4300
Mailing address
4134 S ALSTON AVE, SUITE 101, DURHAM, NC 27713-1870
(919) 323-4300
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34D2004621
CLIA ID #
NC
Enumeration date
03/16/2010
Last updated
11/21/2011
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