The Wavewatch Group, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

THE WAVEWATCH GROUP, INC.

Practice address

1925 W Cornwallis Rd
Durham, NC 27705-5707

Phone

(919) 321-2123

Fax

(419) 735-4874

NPI assigned

Mar 3, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Paul Mele, M.D.

Title

Chief Medical Officer

Phone

(919) 321-2123

Specialties & licenses 1

Addresses

Other names 1

• Doctor 2 Doctor Former legal business name

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1194995431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 W CORNWALLIS RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277055707",
            "telephone_number": "919-321-2123",
            "fax_number": "419-735-4874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 W CORNWALLIS RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277055707",
            "telephone_number": "919-321-2123",
            "fax_number": "419-735-4874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WAVEWATCH GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "MELE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "919-321-2123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctor 2 Doctor",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.