David Farache

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Practice address

300 Billingsley Rd Ste 107
Charlotte, NC 28211-1084

Phone

(786) 942-2110

NPI assigned

Nov 14, 2017

Last updated

Nov 14, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Queen City Diagnostics LLC

  • Clinical Medical Laboratory
  • Charlotte, NC
  • NPI 1326551276
  Authorized official Same address or phone
• Blue Hills Recovery LLC

  dba Blue Hills Health and Wellness

  • Substance Abuse Rehabilitation Facility
  • Worcester, MA
  • NPI 1174112569
  Authorized official Same address or phone

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510617600000",
    "number": "1700399656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6530 GRIFFIN RD",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333144301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BILLINGSLEY RD STE 107",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111084",
            "telephone_number": "786-942-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARACHE",
        "first_name": "DAVID",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-14",
        "last_updated": "2017-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fanous Clinic Medical Group PC
• Kayla Fant
• Shelley Lanette Fant
• Oluwafunmilayo Ruth Fapohunda, MD
• Jordan Grace Farabow, LMFTA
• Hany Latif Moufid Farag, MD
• Hossein H Farahany, M.D.
• Jamil Farakh, DC
• Julia Gray Farber
• Samuel Harrison Farber

• Clinical Medical Laboratory in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Medical Laboratory in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2017; 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.