Active NPI
Metabolon, Inc.
- Clinical Medical Laboratory
- Durham, NC
National Provider Identifier
1194005355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- METABOLON, INC.
- Practice address
- 617 Davis Dr
Ste 400
Durham, NC 27713 - Phone
- (919) 572-1711
- Fax
- (919) 287-2962
- NPI assigned
- Aug 19, 2011
- Last updated
- Aug 19, 2011
- 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
- Mr. Todd Lynch
- Title
- Cfo
- Phone
- (919) 595-2208
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
617 Davis Dr
Ste 400
Durham, NC 27713
Mailing address
PO Box 110407
Research Triangle Park, NC 27709-5407
Phone (919) 595-2208
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313712000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1313712000000",
"number": "1194005355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 110407",
"city": "RESEARCH TRIANGLE PARK",
"state": "NC",
"postal_code": "277095407",
"telephone_number": "919-595-2208",
"fax_number": "919-287-2962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "617 DAVIS DR",
"address_2": "STE 400",
"city": "DURHAM",
"state": "NC",
"postal_code": "27713",
"telephone_number": "919-572-1711",
"fax_number": "919-287-2962"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "METABOLON, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-19",
"last_updated": "2011-08-19",
"status": "A",
"authorized_official_last_name": "LYNCH",
"authorized_official_first_name": "TODD",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "919-595-2208",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"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 Aug 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.