DUKE HOSPITAL OUTPATIENT CLINIC
NPI 1649517616
Clinic/Center in Durham, NC

Active since January 11, 2013CLIA 34D0872444 · Microscopy
30 MEDICINE CIR, DURHAM, NC 27710(919) 668-1219 Get Directions Write a Review

NPPES record last updated: January 11, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Duke Hospital Outpatient Clinic NPPES

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

DUKE HOSPITAL OUTPATIENT CLINIC (NPI 1649517616) is a healthcare organization registered as a clinic/center in Durham, North Carolina and active in the NPI registry since January 2013. The organization holds a CLIA Microscopy certificate valid through June 29, 2027 and lists Nicole Jelesoff, Md, as its authorized official.

NPPES Registry Identity

NPI1649517616
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameDUKE HOSPITAL OUTPATIENT CLINIC
Location Address30 MEDICINE CIRDurham, NC 27710-0001
Mailing Address11726 Broadfield CtRaleigh, NC 27617-4254
Organization SubpartNo
Authorized OfficialNicole JelesoffMd · (919) 668-1219
Enumeration DateJanuary 11, 2013
NPI 1649517616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in NC · 5005980
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

30 MEDICINE CIR, Durham, NC 27710

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
34D0872444
Facility Type
Ancillary Testing Site in Health Care Center
Certificate Effective Date
June 30, 2025
Certificate Expiration Date
June 29, 2027
Laboratory Director
DR. NICOLE KERNER
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Duke Hospital Outpatient Clinic in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

Reviews for DUKE HOSPITAL OUTPATIENT CLINIC

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Internal Medicine (Hematology & Oncology)
30 MEDICINE CIR, BOX 3872
DURHAM, NC 27710

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649517616, enumerated as an "organization" on January 11, 2013.

The provider is located at 30 MEDICINE CIR DURHAM, NC 27710 and the phone number is (919) 668-1219.

Clinic/Center with taxonomy code 261Q00000X.