Organization
WAKEMED
Active
Parent organization
WAKEMED HEALTH & HOSPITALS
Other names
WakeMed Raleigh Reference
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAKEMED HEALTH & HOSPITALS
Authorized official
TERENCE FLYNN (DIRECTOR OF REIMBURSEMENT)
(919) 350-0534
Entity
Organization
Contact information
Practice address
WAKEMED RALEIGH REFERENCE, 3000 NEW BERN AVENUE, RALEIGH, NC 27610-1295
(919) 350-8000
Mailing address
PO BOX 602368, CHARLOTTE, NC 28260-2368
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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