Organization
BETHANY MEDICAL CENTER
Active
Organization
BETHANY MEDICAL CENTER
Active
Parent organization
BETHANY ADVANCE DIAGNOSTIC LAB
Organization subpart
Yes
Provider details
NPI number
Legal business name
BETHANY ADVANCE DIAGNOSTIC LAB
Authorized official
LENIN J PETERS MD (PRESIDENT/CEO)
(336) 883-0029
Entity
Organization
Contact information
Practice address
575 N PATTERSON AVE, SUITE 440, WINSTON SALEM, NC 27101-4101
(877) 722-8910
Mailing address
507 N LINDSAY ST, HIGH POINT, NC 27262-4303
(336) 883-0029
(336) 899-2188
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
34D2089959
NC
Other
Enumeration date
08/24/2015
Last updated
10/13/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up