Cannon Ridge Diagnostic, LLC
Organization Active NPI Phlebotomy Technician · Grantsboro, NC
NPI 1033736822 · NPPES record last updated Jun 29, 2020
Key facts
- NPI
- 1033736822
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Phlebotomy Technician 246RP1900X
- Legal business name
- CANNON RIDGE DIAGNOSTIC, LLC
- Practice address
- 11560 NC 55 Hwy Ste 7
Grantsboro, NC 28529-9447 - Phone
- (252) 242-0088
- Fax
- (252) 631-0340
- NPI assigned
- Jun 29, 2020
- Organization subpart
- No
Authorized official
- Name
- Eric Cannon
- Title
- Owner
- Phone
- (252) 617-7974
Practitioners 1
National Provider Directory
Locations
11560 NC 55 Hwy
Ste 7
Grantsboro, NC 28529
Phone (252) 242-0088
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebotomy Technician |
246RP1900X | Yes |
Addresses
Primary practice location
11560 NC 55 Hwy Ste 7
Grantsboro, NC 28529-9447
Mailing address
77 Magnolia Way
Grantsboro, NC 28529-9457
Phone (252) 617-7974
Other providers in Grantsboro, NC
- John Jeffery Achterberg
- Casey Bennington-Palmer
- Britthaven, Inc.
- Rita Cahoon
- Carolina Home Medical, Inc
- Tessa Clark
- Robert Malachi Clements
- Amanda Michelle Cline-Grant
- Continuum II Home Health & Hospice, Inc.
All providers in Grantsboro, NC · Phlebotomy Technician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.