MINUTECLINIC DIAGNOSTIC OF NORTH CAROLINA PC
NPI 1114666823
Nurse Practitioner - Family in Raleigh, NC

Q: What is Minuteclinic Diagnostic Of North Carolina PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since June 01, 2022CLIA 34D2061067 · Waiver

2340 SPRING FOREST RD, RALEIGH, NC 27615(866) 389-2727 Get Directions Write a Review

NPPES record last updated: August 1, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Minuteclinic Diagnostic Of North Carolina Pc NPPES

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

MINUTECLINIC DIAGNOSTIC OF NORTH CAROLINA PC (NPI 1114666823) is a healthcare organization registered as a family in Raleigh, North Carolina and active in the NPI registry since June 2022. The organization holds a CLIA Waiver certificate valid through June 20, 2027 and lists Deborah Jean Pincince, Administrator, as its authorized official.

NPPES Registry Identity

NPI1114666823

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameMINUTECLINIC DIAGNOSTIC OF NORTH CAROLINA PC

Location Address2340 SPRING FOREST RDRaleigh, NC 27615-7528

Mailing Address1 Cvs DrWoonsocket, RI 02895-6146

Phone(866) 389-2727

Organization SubpartNo

Authorized OfficialDeborah Jean PincinceAdministrator · (401) 770-3813

Enumeration DateJune 1, 2022

Last NPPES UpdateAugust 1, 2023

NPPES CertifiedAugust 1, 2023

✔ NPI 1114666823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedFamily MedicineTaxonomy 207Q00000X

2340 SPRING FOREST RD, Raleigh, NC 27615

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 34D2061067

Minutecliinic Diagnostic Of North Carolina #7345 · Carolina Beach, NC

Active · expires Jun 20, 2027

CLIA Number34D2061067

Laboratory TypeLmtd Svc Hlth Care Clinic

Certificate Effective DateJune 21, 2025

Certificate Expiration DateJune 20, 2027

Laboratory DirectorSusan Stabene

Laboratory Phone(866) 389-2727

Laboratory LocationMinutecliinic Diagnostic Of North Carolina #7345901 Dow Road, Carolina Beach, NC 28428

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

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Other Providers at the Same Location NPPES 20

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

MRS. LAURIE A EDWARDS NP-C

Nurse Practitioner (Family)