Active NPI
Alfa Labs Inc
- Clinical Medical Laboratory
- Cary, NC
National Provider Identifier
1407419955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190627002059 | NC | Part B Supplier - Independent Clinical Laboratory | 5294069068 | Practice locations: Cary, NC |
National Provider Directory
National Provider DirectoryLocations
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.