WILMINGTON HEALTH PLLC
NPI 1043485097
Sleep Specialist, PhD in Wilmington, NC
- Organization
- Sleep Specialist, PhD
- CLIA Number: 34D2305879
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 06-06-2026
About WILMINGTON HEALTH PLLC
This page provides the complete NPI Profile along with additional information for Wilmington Health Pllc, a provider established in Wilmington, North Carolina operating as a Sleep Specialist, Phd. The healthcare provider is registered in the NPI registry with number 1043485097 assigned on April 2008. The practitioner's primary taxonomy code is 173F00000X with license number 73991 (NC). The provider is registered as an organization and their NPI record was last updated 3 years ago. Wilmington Health Pllc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Jeanette Loveless (Ao)
- NPI
- 1043485097 Verify this NPI
- Provider Name
- WILMINGTON HEALTH PLLC
- Entity Type
- Organization
- Location Address
- 1227 MEDICAL CENTER DR WILMINGTON, NC 28401
- Location Phone
- (669) 376-6928
- Location Fax
- (864) 278-5048
- Mailing Address
- 1202 MEDICAL CENTER DR WILMINGTON, NC 28401
- Mailing Phone
- (910) 617-6705
- Mailing Fax
- (910) 431-4048
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-29-2008
- Last Update Date
- 02-02-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Sleep Specialist, PhD
- Taxonomy Code
- 173F00000X
- Type
- Other Service Providers
- License No.
- 73991
- License State
- NC
- Taxonomy Description
- Sleep medicine is a clinical specialty with a focus on clinical problems that require accurate diagnosis and treatment. The knowledge base of sleep medicine is derived from many disciplines including neuroanatomy, neurophysiology, respiratory physiology, pharmacology, psychology, psychiatry, neurology, general internal medicine, pulmonary medicine, and pediatrics as well as others.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 34D2305879
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- June 07, 2024
- Certificate Expiration Date
- June 06, 2026
- Laboratory Director
- JOSHUA K. MASTRACHISIA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Wilmington Health Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043485097, enumerated as an "organization" on April 29, 2008.
The provider is located at 1227 MEDICAL CENTER DR WILMINGTON, NC 28401 and the phone number is (669) 376-6928.
Sleep Specialist, PhD with taxonomy code 173F00000X.