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CANNON RIDGE DIAGNOSTIC, LLC
NPI 1033736822
Technician, Pathology - Phlebotomy in Grantsboro, NC

Active since June 29, 2020
11560 NC 55 HWY STE 7, GRANTSBORO, NC 28529(252) 242-0088(252) 631-0340 Get Directions Write a Review

NPPES record last updated: June 29, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cannon Ridge Diagnostic, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CANNON RIDGE DIAGNOSTIC, LLC (NPI 1033736822) is a healthcare organization registered as a phlebotomy in Grantsboro, North Carolina and active in the NPI registry since June 2020. The organization lists Eric Cannon, Owner, as its authorized official.

NPPES Registry Identity

NPI1033736822
Entity TypeOrganization
Primary Taxonomy246RP1900X
Legal Business NameCANNON RIDGE DIAGNOSTIC, LLC
Location Address11560 NC 55 HWY STE 7Grantsboro, NC 28529-9447
Mailing Address77 Magnolia WayGrantsboro, NC 28529-9457 · (252) 617-7974
Phone(252) 242-0088
Fax(252) 631-0340
Organization SubpartNo
Authorized OfficialEric CannonOwner · (252) 617-7974
Enumeration DateJune 29, 2020
NPPES CertifiedJune 29, 2020
✔ NPI 1033736822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician, Pathology · PhlebotomyTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246RP1900X
11560 NC 55 HWY STE 7, Grantsboro, NC 28529
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RENITA KIRKMAN
In Home Supportive Care
11560 NC 55 HWY STE 7
GRANTSBORO, NC 28529
Pamlico County (252) 242-0088

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cannon Ridge Diagnostic, LLC's NPI number?

The NPI number for Cannon Ridge Diagnostic, LLC is 1033736822. It was assigned to this organization in the NPPES registry on June 29, 2020.

Where is Cannon Ridge Diagnostic, LLC located?

Cannon Ridge Diagnostic, LLC is located at 11560 Nc 55 Hwy Ste 7, Grantsboro, NC 28529. The listed phone number is (252) 242-0088.

What is Cannon Ridge Diagnostic, LLC's specialty?

The primary specialty registered for this NPI is Technician, Pathology, specializing in Phlebotomy, with taxonomy code 246RP1900X.

When was this NPI record last updated?

The NPPES record for Cannon Ridge Diagnostic, LLC was last updated on June 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.