Organization Active NPI

Alfa Labs Inc

  • Clinical Medical Laboratory
  • Cary, NC
National Provider Identifier
1407419955
Registry record updated Aug 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
ALFA LABS INC
Practice address
101 Woodwinds Industrial CT Ste L
Cary, NC 27511-6241
Phone
(612) 865-6261
NPI assigned
Apr 19, 2019
Last updated
Aug 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2023

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

Authorized official

Name
Victor Anbalagan
Title
Owner/Director
Phone
(919) 888-9764

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

101 Woodwinds Industrial CT Ste L
Cary, NC 27511-6241

Mailing address

509 Founders Walk Dr
Morrisville, NC 27560-5796
Phone (919) 888-9764

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190627002059 NC Part B Supplier - Independent Clinical Laboratory 5294069068 Practice locations: Cary, NC

National Provider Directory

National Provider Directory

Locations

101 Woodwinds Industrial Ct
Ste L
Cary, NC 27511
Phone (612) 865-6261

101 Woodwinds Industrial Ct
Ste L
Cary, NC 27511
Phone (612) 865-6261

NPI Registry JSON

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

{
    "created_epoch": "1555632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692489600000",
    "number": "1407419955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 FOUNDERS WALK DR",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275605796",
            "telephone_number": "919-888-9764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WOODWINDS INDUSTRIAL CT STE L",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275116241",
            "telephone_number": "612-865-6261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALFA LABS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-19",
        "last_updated": "2023-08-20",
        "certification_date": "2023-08-20",
        "status": "A",
        "authorized_official_last_name": "ANBALAGAN",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "919-888-9764"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.