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BLUE SKY IOP
NPI 1063200772
Substance Abuse Rehabilitation Facility in Durham, NC

Active since April 30, 2025CLIA 34D2328477 · Waiver
1800 MARTIN LUTHER KING PKWY STE 204, DURHAM, NC 27707(984) 209-4645(323) 213-7885 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 27, 2025, May 21, 2025 (2 updates tracked since 2025).

About Blue Sky Iop NPPES

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

BLUE SKY IOP (NPI 1063200772) is a healthcare organization registered as a substance abuse rehabilitation facility in Durham, North Carolina and active in the NPI registry since April 2025. The organization holds a CLIA Waiver certificate valid through August 10, 2027 and lists Nicholas Moore, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1063200772
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameBLUE SKY IOP
Location Address1800 MARTIN LUTHER KING PKWY STE 204Durham, NC 27707-3500
Mailing Address1800 Martin Luther King Pkwy Ste 204Durham, NC 27707-3500 · (984) 209-4645
Phone(984) 209-4645
Fax(323) 213-7885
Organization SubpartNo
Authorized OfficialNicholas MooreManaging Member · (323) 394-9671
Enumeration DateApril 30, 2025
Last NPPES UpdateMay 27, 20252 updates tracked since enumeration
NPPES CertifiedMay 27, 2025
✔ NPI 1063200772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
1800 MARTIN LUTHER KING PKWY STE 204, Durham, NC 27707
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2328477

Blue Sky Iop, LLC · Durham, NC
Active · expires Aug 10, 2027
CLIA Number34D2328477
Laboratory TypeSaiop
Certificate Effective DateAugust 11, 2025
Certificate Expiration DateAugust 10, 2027
Laboratory DirectorNicholas Moore
Laboratory Phone(919) 864-2599
Laboratory LocationBlue Sky Iop, LLC1800 Martin Luther King Jr Pkwy, Ste 204, Durham, NC 27707
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Blue Sky Iop's NPI number?

The NPI number for Blue Sky Iop is 1063200772. It was assigned to this organization in the NPPES registry on April 30, 2025.

Where is Blue Sky Iop located?

Blue Sky Iop is located at 1800 Martin Luther King Pkwy Ste 204, Durham, NC 27707. The listed phone number is (984) 209-4645.

What is Blue Sky Iop's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Blue Sky Iop hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2328477) is associated with this NPI, valid through August 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Blue Sky Iop was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.