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Contact Information

FAYETTEVILLE ASSOCIATES IN LABORATORY MEDICINE
1638 OWEN DR
FAYETTEVILLE, NC28304
 Phone: 910-615-4000
 Fax: 703-257-1440
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for FAYETTEVILLE ASSOCIATES IN LABORATORY MEDICINE

NPI Number 1295793594
LBN Legal business name FAYETTEVILLE ASSOCIATES IN LABORATORY MEDICINE
Authorized official JERALD WOLFORD - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/03/2006
Last updated 05/20/2014 - About 12 years ago
Identifiers
NC Medicaid 8901571
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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