NC Dept of Health and Human Service

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

34D0692393 Issued in NC

Legal business name

NC DEPT OF HEALTH AND HUMAN SERVICE

Doing business as

North Carolina State Laboratory of Public Health

Practice address

4312 District Dr
Raleigh, NC 27607-5490

Phone

(919) 733-7834

Fax

(919) 733-8695

NPI assigned

Dec 12, 2006

Last updated

Feb 19, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

STATE OF NC DIVISION OF HEALTH SERVICESAs reported in NPPES

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

Authorized official

Name

Dr. Scott Michael Shone, PHD, HCLD(ABB)

Title

Laboratory Director

Phone

(919) 807-8990

Specialties & licenses 1

Addresses

Other names 2

• NORTH CAROLINA STATE LABORATORY OF PUBLIC HEALTH Doing business as
• NCSLPH Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Children Developmental Services Agency7 organizations share this tax ID, including this one

Part of

Children Developmental Services Agency

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

• Children Developmental Services Agency

  • Early Intervention Provider Agency
  • Asheboro, NC
  • NPI 1952560252
  NPD tax ID
• NC Childhood Lead Poisoning Prevention Program

  • State or Local Public Health Clinic/Center
  • Raleigh, NC
  • NPI 1588232953
  NPD tax ID
• NC Department of Health and Human Services, Division of Public Health

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Raleigh, NC
  • NPI 1194056184
  NPD tax ID
• NC Ocme

  • Clinical Medical Laboratory
  • Raleigh, NC
  • NPI 1801270053
  NPD tax ID
• State of NC Division of Health Services

  • Developmental Disabilities Clinic/Center
  • Sylva, NC
  • NPI 1558587972
  NPD tax ID
• State of NC Division of Health Services

  • Developmental Disabilities Clinic/Center
  • Fayetteville, NC
  • NPI 1841414257
  NPD tax ID

Locations

Practitioners 1

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.

• Craig Nelson, MD

  • Forensic Pathology Physician
  • Raleigh, NC
  • NPI 1174131627
  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708300800000",
    "number": "1235290651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MSC 1918",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276991918",
            "telephone_number": "919-733-7834",
            "fax_number": "919-733-8695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4312 DISTRICT DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276075490",
            "telephone_number": "919-733-7834",
            "fax_number": "919-733-8695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NC DEPT OF HEALTH AND HUMAN SERVICE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATE OF NC DIVISION OF HEALTH SERVICES",
        "enumeration_date": "2006-12-12",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A",
        "authorized_official_last_name": "SHONE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "919-807-8990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, HCLD(ABB)"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NC",
            "license": "34D0692393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTH CAROLINA STATE LABORATORY OF PUBLIC HEALTH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NCSLPH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• NC Clinical Health Solutions LLC
• NC Community Care Services Inc
• NC Cutting Edge Counseling
• NC Department of Health and Human Services, Division of Public Health
• NC Department of Public Instruction (Office of Early Learning)
• NC Dept of Health and Human Service/DVRS (NC Assistive Technology Program)
• NC DHHS Child and Family Well-Being
• NC Doctors of Optometry PLLC (Visionworks N.C. Doctors of Optometry, PLLC)
• NC Family Care LLC
• NC Mentor

• Clinical Medical Laboratory in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Clinical Medical Laboratory in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.