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SPECTRUM INFUSION INC NPI 1972827541


NPI Information

NPI: 1972827541
Provider Name: SPECTRUM INFUSION, INC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 34D0929185

Address:
3221 BLUE RIDGE RD STE 101
RALEIGH, NC
ZIP 27612
Phone: (919) 781-2241
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SPECTRUM INFUSION, INC is a durable medical equipment medical supplies in Raleigh, NC. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. SPECTRUM INFUSION, INC NPI is 1972827541. The provider is registered as an organization entity type.

The provider's business location address is:

3221 BLUE RIDGE RD STE 101
RALEIGH, NC
ZIP 27612-063
Phone: (919) 781-2241
Fax: (919) 781-7060

The provider's authorized official is Alan Wicker Knight .
The authorized official title is President and has the following contact phone number (919) 781-2241.

The CLIA number assigned to this NPI record is 34D0929185 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/25/2010 and was last updated on 8/3/2023.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2332B00000XDurable Medical Equipment & Medical Supplies6231NORTH 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
16231OTHERNORTH CAROLINANC STATE PHARMACY LICENSE #
20929454MEDICAIDNORTH CAROLINA
33434684OTHERNORTH CAROLINANABP #

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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