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IMPERIAL CENTER FAMILY MEDICINE AND IMMEDIATE CARE PLLC NPI 1881714707


NPI Information

NPI: 1881714707
Provider Name: IMPERIAL CENTER FAMILY MEDICINE AND IMMEDIATE CARE PLLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 34D2122642

Address:
4309 EMPEROR BLVD
SUITE 125
DURHAM, NC
ZIP 27703
Phone: (919) 941-0158
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IMPERIAL CENTER FAMILY MEDICINE AND IMMEDIATE CARE PLLC is a family medicine in Durham, NC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. IMPERIAL CENTER FAMILY MEDICINE AND IMMEDIATE CARE PLLC NPI is 1881714707. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4309 EMPEROR BLVD
SUITE 125
DURHAM, NC
ZIP 27703-045
Phone: (919) 941-0158
Fax: (919) 474-3130

The provider's authorized official is Eunice L Strange .
The authorized official title is Account Representative/billing and has the following contact phone number (919) 941-0158.

The CLIA number assigned to this NPI record is 34D2122642 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/2/2007 and was last updated on 1/18/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

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

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