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CHARLENE LYDIA BLAINE NPI 1063403160


NPI Information

NPI: 1063403160
Provider Name: CHARLENE LYDIA BLAINE

Doing Business As: RESPI-TEST INDEPENDENT LAB

Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
11048 CLEVELAND ROAD
SUITE 101-102
GARNER, NC
ZIP 27529
Phone: (919) 359-9920
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CHARLENE LYDIA BLAINE is a pulmonary disease internal medicine in Garner, NC. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. CHARLENE LYDIA BLAINE NPI is 1063403160. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Respi-test Independent Lab.

The provider's business location address is:

11048 CLEVELAND ROAD
SUITE 101-102
GARNER, NC
ZIP 27529
Phone: (919) 359-9920
Fax: (919) 359-2520

The provider's authorized official is Charlene Lydia Blaine .
The authorized official title is President and has the following contact phone number (919) 359-9920.

The enumeration date for this NPI number is 10/31/2005 and was last updated on 6/16/2008.


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
1207RS0012XInternal MedicineSleep Medicine9500533NORTH CAROLINANo
22278P1004XRespiratory Therapist, CertifiedPulmonary DiagnosticsA-4125NORTH CAROLINANo
3207RP1001XInternal MedicinePulmonary Disease9500533NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
137119OTHERNORTH CAROLINAPARTNERS
2=========OTHERNORTH CAROLINAWEBMD/ENVOY
3=========OTHERNORTH CAROLINATRICARE/CHAMPUS
43500316OTHERNORTH CAROLINAUNITED HEALTHCARE
5017PYOTHERNORTH CAROLINABCBSNC
6=========OTHERNORTH CAROLINACHAMPION HEALTH CARE
7429202OTHERNORTH CAROLINAWELLPATH
82881822MEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINA
9=========OTHERNORTH CAROLINAAETNA
105902258MEDICAIDNORTH CAROLINA

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: 4/28/2024

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