NPIMap

Organization Active NPI

Rapha Healthcare Services - Lab

  • Multi-Specialty Clinic/Center
  • Durham, NC
National Provider Identifier
1407481732
Registry record updated Mar 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
RAPHA HEALTHCARE SERVICES - LAB
Practice address
4411 Ben Franklin Blvd
Durham, NC 27704-2147
Phone
(919) 471-5474
NPI assigned
Mar 6, 2020
Last updated
Mar 6, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
RAPHA HEALTHCARE SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 6, 2020

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

Authorized official

Name
Sharon HallidayNPI 1760813364
Title
Managing Member
Phone
(919) 471-5474

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU Primary
Addiction Medicine (Family Medicine) Physician 207QA0401X NU

Addresses

Primary practice location

4411 Ben Franklin Blvd
Durham, NC 27704-2147

Mailing address

4411 Ben Franklin Blvd
Durham, NC 27704-2147
Phone (919) 471-5474

National Provider Directory

National Provider Directory
Tax ID family
Rapha Healthcare Services - Lab2 organizations share this tax ID, including this one
Part of
Rapha Healthcare Services - Lab

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1583452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583452800000",
    "number": "1407481732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 BEN FRANKLIN BLVD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042147",
            "telephone_number": "919-471-5474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 BEN FRANKLIN BLVD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042147",
            "telephone_number": "919-471-5474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAPHA HEALTHCARE SERVICES - LAB",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RAPHA HEALTHCARE SERVICES, LLC",
        "enumeration_date": "2020-03-06",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A",
        "authorized_official_last_name": "HALLIDAY",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "919-471-5474"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Mar 6, 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.