Organization Active NPI

Harris Histology Relief Services Inc

  • Clinical Medical Laboratory
  • Greenville, NC
National Provider Identifier
1598728107
Registry record updated May 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
HARRIS HISTOLOGY RELIEF SERVICES INC
Practice address
2025 Eastgate Dr
Suite F
Greenville, NC 27858-4154
Phone
(252) 830-6866
Fax
(252) 830-0032
NPI assigned
Apr 7, 2006
Organization subpart
Yes
Parent organization
PROVIA DIAGNOSTICS INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 6, 2011

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

Authorized official

Name
Dr. Dean A Troyer, MD
Title
President, Ceo
Phone
(252) 830-6866

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

2025 Eastgate Dr
Suite F
Greenville, NC 27858-4154

Mailing address

2025 Eastgate Dr
Suite F
Greenville, NC 27858-4154
Phone (252) 830-6866

Other identifiers 4

IdentifierTypeStateIssuer
7001138MedicaidNC
34D0882748OtherNCCLIA
690007364OtherNCRAILROAD MEDICARE
01952OtherNCBCBS

National Provider Directory

National Provider Directory

Locations

2025 Eastgate Dr
Ste F
Greenville, NC 27858
Phone (252) 830-6866

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304640000000",
    "number": "1598728107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 EASTGATE DR",
            "address_2": "SUITE F",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278584154",
            "telephone_number": "252-830-6866",
            "fax_number": "252-830-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 EASTGATE DR",
            "address_2": "SUITE F",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278584154",
            "telephone_number": "252-830-6866",
            "fax_number": "252-830-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRIS HISTOLOGY RELIEF SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROVIA DIAGNOSTICS INC.",
        "enumeration_date": "2006-04-07",
        "last_updated": "2011-05-06",
        "status": "A",
        "authorized_official_last_name": "TROYER",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "252-830-6866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7001138",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "34D0882748",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "690007364",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01952",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 May 6, 2011; 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.