NPI 1073006144

Wake Diagnostics INC

Organisation Clinical Medical Laboratory Durham, NC

Practice location

Address: 5129 Nc 55 STE 103, Durham, NC 27713
Phone: (919) 399-1215
Fax: (919) 981-9180

Authorised official

Name: Goverdhan Reddy Vavilala
Title: Ceo
Phone: (919) 462-1494

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence 34D2150941 (NC)

Other Clinical Medical Laboratory providers in North Carolina →

Registry record

NPI: 1073006144
Entity type: Organization
NPI issued: 12 Jun 2018
Record last updated: 12 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.