34D2150375 CLIA NUMBER - INNERLOGIC, PLLC

Laboratory Demographics

CLIA Number: 34D2150375

Facility Name: INNERLOGIC, PLLC

Facility Address:
123 SUNNY BROOK ROAD, #140
RALEIGH, NC
ZIP 27610
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Facility Phone Number: (919) 322-9246

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1821538877

Taxonomy: 363LP0808X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	34D2150375
LAB Type	PHYSICIAN OFFICE
Facility Name	INNERLOGIC, PLLC
Street	123 SUNNY BROOK ROAD, #140
City	RALEIGH
State	NC
ZIP	27610
Phone	(919) 322-9246

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This page was last updated on: 5/11/2023