Wake Diagnostics INC
NPI #1073006144 in Durham, North Carolina
Provider Information
- NPI Number
- 1073006144
- Entity Type
- Organization
- Organization Name
- Wake Diagnostics INC
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Jun 12, 2018
- Last Updated
- Sep 12, 2025
Practice Location
- Address
- 5129 NC 55
- Address 2
- STE 103
- City
- Durham
- State
- North Carolina
- ZIP Code
- 27713
- Phone
- (919) 399-1215
Authorized Official
- Name
- GOVERDHAN REDDY VAVILALA, PHD
- Title
- CEO
- Phone
- (919) 462-1494
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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