Immufood Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

IMMUFOOD INC

Practice address

609 Attain St Ste 141
Fuquay Varina, NC 27526-1987

Phone

(919) 762-5135

NPI assigned

Nov 1, 2018

Last updated

Nov 1, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tzvika Klepar

Title

Ceo

Phone

(919) 762-5135

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541030400000",
    "number": "1538636014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 ATTAIN ST STE 141",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275261987",
            "telephone_number": "919-762-5135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 ATTAIN ST STE 141",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275261987",
            "telephone_number": "919-762-5135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMUFOOD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-01",
        "last_updated": "2018-11-01",
        "status": "A",
        "authorized_official_last_name": "KLEPAR",
        "authorized_official_first_name": "TZVIKA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-762-5135"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; 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.