Organization Active NPI

Carolina Lung Clinic, PA

  • Pulmonary Disease Physician
  • Rock Hill, SC
National Provider Identifier
1184083479
Registry record updated Mar 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
CAROLINA LUNG CLINIC, PA
Practice address
370 S Herlong Ave
Suite 1000
Rock Hill, SC 29732-1160
Phone
(803) 251-9502
Fax
(803) 327-0023
NPI assigned
Feb 16, 2016
Last updated
Mar 30, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2018

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

Authorized official

Name
Arun AdlakhaNPI 1366435422
Title
Owner/Physician
Phone
(803) 329-6903

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X NU Primary

Addresses

Primary practice location

370 S Herlong Ave
Suite 1000
Rock Hill, SC 29732-1160

Mailing address

370 S Herlong Ave
Suite 1000
Rock Hill, SC 29732-1160
Phone (803) 251-9502

Other identifiers 1

IdentifierTypeStateIssuer
1366435422OtherSCNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160414001488 SC Part B Supplier - Clinic/Group Practice 0941508519 Receives reassigned benefits from 1 practitioner
Practice locations: Rock Hill, SC

National Provider Directory

National Provider Directory

Locations

225 Herlong Ave S
Ste 230A
Rock Hill, SC 29732
Phone (803) 329-6903

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13065/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522368000000",
    "number": "1184083479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 S HERLONG AVE",
            "address_2": "SUITE 1000",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321160",
            "telephone_number": "803-251-9502",
            "fax_number": "803-327-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 S HERLONG AVE",
            "address_2": "SUITE 1000",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321160",
            "telephone_number": "803-251-9502",
            "fax_number": "803-327-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA LUNG CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-16",
        "last_updated": "2018-03-30",
        "status": "A",
        "authorized_official_last_name": "ADLAKHA",
        "authorized_official_first_name": "ARUN",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "803-329-6903"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1366435422",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.