Organization Active NPI

War for Life Inc.

  • Clinical Medical Laboratory
  • Durham, NC
National Provider Identifier
1386390102
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
WAR FOR LIFE INC.
Practice address
1100 N Miami Blvd
Durham, NC 27703-2478
Phone
(919) 806-7071
NPI assigned
Mar 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Authorized official

Name
Delois Prince
Title
Health Coordinator
Phone
(919) 671-0031

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X
Community Health Clinic/Center 261QC1500X
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1100 N Miami Blvd
Durham, NC 27703-2478

Mailing address

312 S Driver St
Durham, NC 27703-4264
Phone (919) 806-7071

Other practice location 1

23 Reams Ave
Roxboro, NC 27573-5225
Phone (919) 806-7071

Other practice location 2

112 W Winder St
Henderson, NC 27536-4239
Phone (919) 806-7071

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://endpointsportal.iron-sequence-298500.cloud.goog/ Direct
FHIR URL https://endpointsportal.iron-sequence-298500.cloud.goog/ Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

312 S Driver St
Durham, NC 27703
Phone (964) 244-0703

1100 N Miami Blvd
Durham, NC 27703
Phone (919) 806-7071

23 Reams Ave
Roxboro, NC 27573
Phone (919) 806-7071

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674000000000",
    "number": "1386390102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 S DRIVER ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277034264",
            "telephone_number": "919-806-7071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N MIAMI BLVD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277032478",
            "telephone_number": "919-806-7071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23 Reams Ave",
            "address_purpose": "LOCATION",
            "city": "Roxboro",
            "state": "NC",
            "postal_code": "275735225",
            "country_code": "US",
            "telephone_number": "919-806-7071",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 W Winder St",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NC",
            "postal_code": "275364239",
            "country_code": "US",
            "telephone_number": "919-806-7071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WAR FOR LIFE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-02",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "DELOIS",
        "authorized_official_title_or_position": "HEALTH COORDINATOR",
        "authorized_official_telephone_number": "919-671-0031"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://endpointsportal.iron-sequence-298500.cloud.goog/",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1100 N Miami Blvd",
            "city": "Durham",
            "state": "NC",
            "country_code": "US",
            "postal_code": "277032478",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://endpointsportal.iron-sequence-298500.cloud.goog/",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "23 Reams Ave",
            "city": "Roxboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275735225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jan 18, 2023; 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.