<Unavail>

LBN: Mack Pediatrics Pllc
<Unavail> is an health care organization with primary practice located at 3721 Lynn Rd Ste 104 , Raleigh NC 27613-3855. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Mack Pediatrics Pllc can be contacted via phone (919) 825-3600, or through Mack, Emili Rachele via phone (919) 825-3600.

Contact Information

Primary practice address
3721 Lynn Rd Ste 104 Raleigh NC 27613-3855
Phone: (919) 825-3600
Fax: (984) 200-6001
Website:
Map and Directions
Authorized official contact:
Name: Mack, Emili Rachele Doctor of Medicine (MD)
Phone: (919) 825-3600

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1881169514
LBN Legal business name Mack Pediatrics Pllc
DBA Doing business as <Unavail>
Authorized official Mack, Emili Rachele Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 9th, 2018
Last updated Apr 30th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881169514 NPPES
North Carolina Other 34D2157235 CLIA LABORATORY PROGRAM

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