WAKE DIAGNOSTICS INC
NPI 1073006144
Clinical Medical Laboratory in Durham, NC

Active since June 12, 2018
5129 NC 55, STE 103, DURHAM, NC 27713(919) 399-1215(919) 981-9180 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 12, 2025, May 9, 2023, Jul 13, 2022 and 3 more (6 updates tracked since 2018).

About Wake Diagnostics Inc NPPES

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

WAKE DIAGNOSTICS INC (NPI 1073006144), doing business as Wake Diagnostics, is a healthcare organization registered as a clinical medical laboratory in Durham, North Carolina and active in the NPI registry since June 2018. The organization lists Goverdhan Reddy Vavilala, Ceo, as its authorized official.

NPPES Registry Identity

NPI1073006144
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameWAKE DIAGNOSTICS INC
Location Address5129 NC 55, STE 103Durham, NC 27713
Mailing Address5129 Nc 55, Ste 103Durham, NC 27713 · (919) 399-1215 · Fax (919) 981-9180
Fax(919) 981-9180
Organization SubpartNo
Authorized OfficialGoverdhan Reddy VavilalaCeo · (919) 462-1494
Enumeration DateJune 12, 2018
Last NPPES UpdateSeptember 12, 20256 updates tracked since enumeration
NPPES CertifiedMay 9, 2023
NPI 1073006144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
License Licensed in NC · 34D2150941
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
5129 NC 55, Durham, NC 27713

Other Names 1

Doing Business AsWake Diagnostics

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 Wake Diagnostics Inc's NPI number?

The NPI number for Wake Diagnostics Inc is 1073006144. It was assigned to this organization in the NPPES registry on June 12, 2018. The provider is doing business as Wake Diagnostics.

Where is Wake Diagnostics Inc located?

Wake Diagnostics Inc is located at 5129 Nc 55 Ste 103, Durham, NC 27713. The listed phone number is (919) 399-1215.

What is Wake Diagnostics Inc's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

When was this NPI record last updated?

The NPPES record for Wake Diagnostics Inc was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.