Active NPI
The Pine Dog Group, Inc
- Clinical Medical Laboratory
- Greenville, NC
National Provider Identifier
1417539768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- THE PINE DOG GROUP, INC
- Practice address
- 2315B Executive Cir
Greenville, NC 27834-3749 - Phone
- (252) 215-5688
- NPI assigned
- Apr 26, 2021
- 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
- Mr. Jeffrey Allen
- Title
- President
- Phone
- (919) 796-3298
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
2315B Executive Cir
Greenville, NC 27834-3749
Mailing address
2315B Executive Cir
Greenville, NC 27834-3749
Phone (252) 215-5688
Other names 1
- ARCpoint Labs of ENC
National Provider Directory
National Provider DirectoryLocations
2315 Executive Cir
#B
Greenville, NC 27834
Phone (252) 215-5688
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619395200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1619395200000",
"number": "1417539768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2315B EXECUTIVE CIR",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278343749",
"telephone_number": "252-215-5688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2315B EXECUTIVE CIR",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278343749",
"telephone_number": "252-215-5688"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE PINE DOG GROUP, INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-26",
"last_updated": "2021-04-26",
"certification_date": "2021-04-26",
"status": "A",
"authorized_official_last_name": "ALLEN",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "919-796-3298",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ARCpoint Labs of ENC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.