Active NPI
Bio-Lifecycle Medical Centers, PLLC
- Public Health & General Preventive Medicine Physician
- Raleigh, NC
National Provider Identifier
1003159617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- License
- 39759
- Legal business name
- BIO-LIFECYCLE MEDICAL CENTERS, PLLC
- Practice address
- 4201 Lake Boone TRL
Ste 005
Raleigh, NC 27607-7512 - Phone
- (919) 851-9100
- NPI assigned
- Apr 2, 2013
- Last updated
- Apr 2, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mike Montemurro
- Title
- Coo
- Phone
- (919) 851-9100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | 39759 | NC | Primary |
Addresses
Primary practice location
4201 Lake Boone TRL
Ste 005
Raleigh, NC 27607-7512
Mailing address
4201 Lake Boone TRL
Ste 005
Raleigh, NC 27607-7512
Phone (919) 851-9100
National Provider Directory
National Provider DirectoryLocations
4201 Lake Boone Trl
Ste 5
Raleigh, NC 27607
Phone (919) 788-7760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364860800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1364860800000",
"number": "1003159617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 LAKE BOONE TRL",
"address_2": "STE 005",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276077512",
"telephone_number": "919-851-9100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 LAKE BOONE TRL",
"address_2": "STE 005",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276077512",
"telephone_number": "919-851-9100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIO-LIFECYCLE MEDICAL CENTERS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-02",
"last_updated": "2013-04-02",
"status": "A",
"authorized_official_last_name": "MONTEMURRO",
"authorized_official_first_name": "MIKE",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "919-851-9100"
},
"taxonomies": [
{
"code": "2083P0901X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "NC",
"license": "39759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
- Thomas Scott Binford, PA
- Beth Bingaman, FNP-C
- Kyle Samuel Bingham
- Peyton Elizabeth Bingham, PHARMD
- Jordan Binkowitz
- Bio-Medical Applications of North Carolina, Inc. (Fresenius Medical Care Millbrook)
- Bio-Medical Applications of North Carolina, Inc. (FMC New Hope Dialysis)
- Bio-Medical Applications of North Carolina, Inc. (Fresenius Medical Care Central Raleigh)
- Bio-Medical Applications of North Carolina, Inc. (Raleigh Dialysis)
- Bio-Medical Applications of North Carolina, Inc. (Wake Dialysis)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.