WAKE PET SERVICES LLC NPI 1770182933

NPI Information

  • NPI: 1770182933
  • Provider Name: WAKE PET SERVICES LLC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • CLIA Number: 34D2214436
  • Address: 210 ASHVILLE AVE STE 120
    CARY, NC
    ZIP 27518
  • Phone: (919) 350-8000

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NPI Details

WAKE PET SERVICES LLC is a diagnostic radiology radiology in Cary, NC. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. WAKE PET SERVICES LLC NPI is 1770182933. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

210 ASHVILLE AVE STE 120
CARY, NC
ZIP 27518-601
Phone: (919) 350-8000

The provider's authorized official is Stephanie Sessoms .
The authorized official title is Executive Vp, Finance & Cfo and has the following contact phone number (919) 350-0522.

The CLIA number assigned to this NPI record is 34D2214436 - other - nuclear/pet lab with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/20/2020 and was last updated on 11/11/2024.

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
12085N0904XRadiologyNuclear RadiologyNo
22085R0202XRadiologyDiagnostic RadiologyYes

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: 3/30/2025

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