NPIMap

Organization Active NPI

Respi-Test Inc.

  • Pulmonary Disease Physician
  • Garner, NC
National Provider Identifier
1497968424
Registry record updated Apr 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
9500533 Issued in NC
Legal business name
RESPI-TEST INC.
Practice address
11048 Cleveland Rd
Suite 101-102
Garner, NC 27529-8351
Phone
(919) 359-9920
Fax
(919) 359-2520
NPI assigned
May 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2008

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

Authorized official

Name
Mrs. Charlene Lydia Blaine, CRT, RCP
Title
President
Phone
(919) 359-9920

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X 9500533 NC Primary
Pulmonary Diagnostics Certified Respiratory TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2278P1004X A-4125 NC
Pulmonary Diagnostics Certified Respiratory TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2278P1004X A-3325 NC
Pulmonary Diagnostics Registered Respiratory TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2279P1004X A-2613 NC

Addresses

Primary practice location

11048 Cleveland Rd
Suite 101-102
Garner, NC 27529-8351

Mailing address

11048 Cleveland Rd
Suite 101-102
Garner, NC 27529-8351
Phone (919) 359-9920

Other identifiers 1

IdentifierTypeStateIssuer
5902258MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207267200000",
    "number": "1497968424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11048 CLEVELAND RD",
            "address_2": "SUITE 101-102",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275298351",
            "telephone_number": "919-359-9920",
            "fax_number": "919-359-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11048 CLEVELAND RD",
            "address_2": "SUITE 101-102",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275298351",
            "telephone_number": "919-359-9920",
            "fax_number": "919-359-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESPI-TEST INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2008-04-04",
        "status": "A",
        "authorized_official_last_name": "BLAINE",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_middle_name": "LYDIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-359-9920",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRT, RCP"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NC",
            "license": "9500533",
            "primary": true
        },
        {
            "code": "2278P1004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Certified, Pulmonary Diagnostics",
            "state": "NC",
            "license": "A-4125",
            "primary": false
        },
        {
            "code": "2278P1004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Certified, Pulmonary Diagnostics",
            "state": "NC",
            "license": "A-3325",
            "primary": false
        },
        {
            "code": "2279P1004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Registered, Pulmonary Diagnostics",
            "state": "NC",
            "license": "A-2613",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5902258",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garner, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; 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.