Organization Active NPI

Demand Diagnostics Inc

  • Clinical Laboratory Director (Non-physician)
  • Charlotte, NC
National Provider Identifier
1184376451
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Laboratory Director (Non-physician)Taxonomy code 247ZC0005X
Legal business name
DEMAND DIAGNOSTICS INC
Practice address
6033 Florence Ave Ste 200
Charlotte, NC 28212-6390
Phone
(704) 390-5458
Fax
(704) 749-8652
NPI assigned
Jan 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

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

Authorized official

Name
Mrs. Teneika Funderburk, RNNPI 1770781098
Title
Lab Director
Phone
(704) 390-5458

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
Clinical Laboratory Director (Non-physician)Group: 193400000X SINGLE SPECIALTY GROUP 247ZC0005X Primary

Addresses

Primary practice location

6033 Florence Ave Ste 200
Charlotte, NC 28212-6390

Mailing address

6033 Florence Ave Ste 200
Charlotte, NC 28212-6390
Phone (704) 390-5458

National Provider Directory

National Provider Directory

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": "1642550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642550400000",
    "number": "1184376451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6033 FLORENCE AVE STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282126390",
            "telephone_number": "704-390-5458",
            "fax_number": "704-749-8652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6033 FLORENCE AVE STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282126390",
            "telephone_number": "704-390-5458",
            "fax_number": "704-749-8652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEMAND DIAGNOSTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-19",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A",
        "authorized_official_last_name": "FUNDERBURK",
        "authorized_official_first_name": "TENEIKA",
        "authorized_official_title_or_position": "LAB DIRECTOR",
        "authorized_official_telephone_number": "704-390-5458",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "247ZC0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; 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.