Endolastic Inc.

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

ENDOLASTIC INC.

Practice address

8817 Westgate PZRK Dr.
Ste 110
Raleigh, NC 27617

Phone

(336) 712-6427

NPI assigned

Jul 10, 2026

Last updated

Jul 10, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Frederick Haller

Title

Ceo

Phone

(336) 712-6427

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1783641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783641600000",
    "number": "1124946652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8817 WESTGATE PZRK DR.",
            "address_2": "STE 110",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27617",
            "telephone_number": "336-712-6427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8817 WESTGATE PZRK DR.",
            "address_2": "STE 110",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27617",
            "telephone_number": "336-712-6427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOLASTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-10",
        "last_updated": "2026-07-10",
        "certification_date": "2026-06-18",
        "status": "A",
        "authorized_official_last_name": "HALLER",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-712-6427"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Local Education Agency (LEA) in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Local Education Agency (LEA) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.