Organization
DUKE UNIVERSITY HEALTH SYSTEM INC
Active
Other names
Durham Regional Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN STUART SMITH (VP FINANCE)
(919) 613-8995
Entity
Organization
Contact information
Practice address
3643 N ROXBORO ROAD, DURHAM, NC 27704-2702
(919) 684-8111
(919) 620-4921
Mailing address
PO BOX 110566, DURHAM, NC 27709-5566
(919) 620-4855
(919) 620-4921
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
34D0655194CLIA
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001E2
BLUE CROSS BLUE SHIELD
NC
05
—
3400155
—
NC
Enumeration date
11/17/2005
Last updated
09/12/2023
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