LANDMARK MEDICAL OF NORTH CAROLINA PC NPI 1326547514

NPI Information

NPI: 1326547514
Provider Name: LANDMARK MEDICAL OF NORTH CAROLINA PC
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 34D2149398

Address:
2645 MERIDIAN PKWY STE 323
DURHAM, NC
ZIP 27713
Phone: (657) 400-5180
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LANDMARK MEDICAL OF NORTH CAROLINA PC is a general practice in Durham, NC. LANDMARK MEDICAL OF NORTH CAROLINA PC NPI is 1326547514. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2645 MERIDIAN PKWY STE 323
DURHAM, NC
ZIP 27713-957
Phone: (657) 400-5180

The provider's authorized official is Michael H Le .
The authorized official title is Chief Medical Officer and has the following contact phone number (657) 237-2459.

The CLIA number assigned to this NPI record is 34D2149398 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/2/2018 and was last updated on 1/12/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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