Active NPI
Enveina Service Center LLC
- Phlebotomy Technician
- Durham, NC
National Provider Identifier
1053022509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- Legal business name
- ENVEINA SERVICE CENTER LLC
- Practice address
- 1405 Old Oxford Rd Ste F
Durham, NC 27704-8779 - Phone
- (919) 638-5550
- NPI assigned
- Dec 6, 2022
- 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
- Kawania McDuffie, CPI, CPT, AA
- Title
- Phlebotomist
- Phone
- (919) 638-5550
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | Primary | ||
| Clinical Medical Laboratory | 291U00000X |
Addresses
Primary practice location
1405 Old Oxford Rd Ste F
Durham, NC 27704-8779
Mailing address
1308 Bent Willow Dr
Durham, NC 27704-1969
Phone (919) 638-5550
National Provider Directory
National Provider DirectoryLocations
1405 Old Oxford Rd
Ste F
Durham, NC 27704
Phone (919) 638-5550
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670284800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686182400000",
"number": "1053022509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1308 BENT WILLOW DR",
"city": "DURHAM",
"state": "NC",
"postal_code": "277041969",
"telephone_number": "919-638-5550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1405 OLD OXFORD RD STE F",
"city": "DURHAM",
"state": "NC",
"postal_code": "277048779",
"telephone_number": "919-638-5550"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENVEINA SERVICE CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-06",
"last_updated": "2023-06-08",
"certification_date": "2023-06-08",
"status": "A",
"authorized_official_last_name": "MCDUFFIE",
"authorized_official_first_name": "KAWANIA",
"authorized_official_title_or_position": "PHLEBOTOMIST",
"authorized_official_telephone_number": "919-638-5550",
"authorized_official_credential": "CPI, CPT, AA"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician, Pathology, Phlebotomy",
"state": null,
"license": null,
"primary": true
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.