UNITED PRIMARY DIAGNOSTIC CENTER NPI 1316400088

NPI Information

NPI: 1316400088
Provider Name: UNITED PRIMARY DIAGNOSTIC CENTER
Classification: Nurse Practitioner - 363LC1500X
Entity Type: Organization

Specialization: Community Health

Address:
2103 N GRAHAM ST STE B
CHARLOTTE, NC
ZIP 28206
Phone: (336) 370-9232
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UNITED PRIMARY DIAGNOSTIC CENTER is a community health nurse practitioner in Charlotte, NC. UNITED PRIMARY DIAGNOSTIC CENTER NPI is 1316400088. The provider is registered as an organization entity type.

The provider's business location address is:

2103 N GRAHAM ST STE B
CHARLOTTE, NC
ZIP 28206-548
Phone: (336) 370-9232
Fax: (336) 274-7200

The provider's authorized official is Enasha L James .
The authorized official title is Medical Administrator and has the following contact phone number (980) 237-4768.

The enumeration date for this NPI number is 4/10/2019 and was last updated on 12/17/2020.

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	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
2	261QP2300X	Clinic/Center	Primary Care	No
3	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	No
4	291U00000X	Clinical Medical Laboratory		No
5	324500000X	Substance Abuse Rehabilitation Facility		No
6	363LC1500X	Nurse Practitioner	Community Health	Yes
7	363LP2300X	Nurse Practitioner	Primary Care	No

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

NPI Synchronization or Removal

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