NPIMap

Organization Active NPI

North Carolina Central University

Doing business as Student Health and Counseling Service Laboratory

  • Clinical Medical Laboratory
  • Durham, NC
National Provider Identifier
1326360579
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
34D0688623 Issued in NC
Legal business name
NORTH CAROLINA CENTRAL UNIVERSITY
Doing business as
Student Health and Counseling Service Laboratory
Practice address
200 Cafeteria Drive
Student Health Building
Durham, NC 27707-0020
Phone
(919) 530-6317
Fax
(919) 530-7969
NPI assigned
Feb 15, 2010
Organization subpart
Yes
Parent organization
NORTH CAROLINA CENTRAL UNIVERSITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Authorized official

Name
Mrs. Ieschecia Nytonya Graham Allen, M.S., RHIT
Title
Executive Director
Phone
(919) 530-7908

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 34D0688623 NC Primary

Addresses

Primary practice location

200 Cafeteria Drive
Student Health Building
Durham, NC 27707-0020

Mailing address

P.O. Box 19491
Student Health Building
Durham, NC 27707-0020
Phone (919) 530-6317

Other identifiers 1

IdentifierTypeStateIssuer
AIH0085120OtherNCPEARCE AND PEARCE

Other names 1

  • Student Health and Counseling Service Laboratory Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D0688623NC Central Univ Student Health Service200 Cafeteria Drive Student Health Center, Durham, NC 27707AccreditationAug 9, 2027

National Provider Directory

National Provider Directory
Tax ID family
North Carolina Central University5 organizations share this tax ID, including this one
Part of
North Carolina Central University

Other organizations with this tax ID 4

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

Locations

1801 Fayetteville St
Durham, NC 27707
Phone (919) 530-6215

NPI Registry JSON

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

{
    "created_epoch": "1266192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739404800000",
    "number": "1326360579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 19491",
            "address_2": "STUDENT HEALTH BUILDING",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277070020",
            "telephone_number": "919-530-6317",
            "fax_number": "919-530-7969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CAFETERIA DRIVE",
            "address_2": "STUDENT HEALTH BUILDING",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277070020",
            "telephone_number": "919-530-6317",
            "fax_number": "919-530-7969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CAROLINA CENTRAL UNIVERSITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH CAROLINA CENTRAL UNIVERSITY",
        "enumeration_date": "2010-02-15",
        "last_updated": "2025-02-13",
        "status": "A",
        "authorized_official_last_name": "GRAHAM ALLEN",
        "authorized_official_first_name": "IESCHECIA",
        "authorized_official_middle_name": "NYTONYA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "919-530-7908",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S., RHIT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NC",
            "license": "34D0688623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEARCE AND PEARCE",
            "identifier": "AIH0085120",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Student Health and Counseling Service Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 13, 2025; 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.