REX SURGERY CENTER OF WAKEFIELD LLC NPI 1013425933

NPI Information

NPI: 1013425933
Provider Name: REX SURGERY CENTER OF WAKEFIELD, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 34D2089206

Address:
11200 GOVERNOR MANLY WAY STE 110
RALEIGH, NC
ZIP 27614
Phone: (919) 570-7510
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REX SURGERY CENTER OF WAKEFIELD, LLC is an ambulatory surgical clinic center in Raleigh, NC. REX SURGERY CENTER OF WAKEFIELD, LLC NPI is 1013425933. The provider is registered as an organization entity type.

The provider's business location address is:

11200 GOVERNOR MANLY WAY STE 110
RALEIGH, NC
ZIP 27614-360
Phone: (919) 570-7510
Fax: (919) 570-7511

The provider's authorized official is Andrew Kenneth Zukowski .
The authorized official title is Cfo and has the following contact phone number (919) 784-6422.

The CLIA number assigned to this NPI record is 34D2089206 - ancillary test site with a certificate type of Certificate of Waiver.

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

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	261QA1903X	Clinic/Center	Ambulatory Surgical			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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