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Contact Information

COLUMBUS REGIONAL DIAGNOSTICS
509 OLDE WATERFORDWAY
SUITE 104
LELAND, NC28451
 Phone: 910-640-4380
 Fax: 910-399-4353
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physiological Laboratory, (Independent Physiological Lab)

293D00000X 47 Independent Diagnostic Testing Facility (IDTF)
Indicates primary specialty

NPI Profile & details for COLUMBUS REGIONAL DIAGNOSTICS

NPI # 1114684941
LBN Legal business name COLUMBUS REGIONAL DIAGNOSTICS
Authorized official KIMBERLY GORE - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 11/29/2021
Last updated 01/27/2023 - About 3 years ago
Identifiers n/a
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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