Carolina Vascular Laboratory

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

CAROLINA VASCULAR LABORATORY

Practice address

420 5TH Ave W
Suite 100
Hendersonville, NC 28739-4202

Phone

(828) 696-3833

Fax

(828) 693-6629

NPI assigned

Sep 15, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David L Glenn Jr., M.D.NPI 1114926557

Title

Medical Director

Phone

(828) 696-3833

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Locke Glenn Jr., MD

  • Emergency Medicine Physician
  • Brevard, NC
  • NPI 1114926557
  NPD (past) Authorized official

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265538342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 5TH AVE W",
            "address_2": "SUITE 100",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287394202",
            "telephone_number": "828-696-3833",
            "fax_number": "828-693-6629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 5TH AVE W",
            "address_2": "SUITE 100",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287394202",
            "telephone_number": "828-696-3833",
            "fax_number": "828-693-6629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA VASCULAR LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GLENN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "828-696-3833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD NC",
            "identifier": "0194R",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8935971",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolina Ophthalmology PA
• Carolina Orthopedic Rehab LLC
• Carolina Physical Therapy Associates LLC (CORA Physical Therapy - Hendersonville)
• Carolina Rehabilitation Medicine, P.C.
• Carolina Surgeons PA
• Carolina Village, Inc.
• Carolina Village, Inc.
• Carolina Wellth
• Carolinas Physicians Network Inc (Pediatric Urology Associates)
• Terri Carpenter, P.A.

• Physiological Laboratory in Hendersonville, NC
• Providers in Hendersonville, NC by specialty
• Physiological Laboratory in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.