1316906233 NPI number — STANLEX, INC.

Table of content: (NPI 1316906233)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1316906233 NPI number — STANLEX, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
STANLEX, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1316906233
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/10/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1061 ALBERMARLE ROAD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TROY
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27371-8681
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
704-982-2273
Provider Business Mailing Address Fax Number:
704-986-2358

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
707 ALBEMARLE RD
Provider Second Line Business Practice Location Address:
SUITE 2
Provider Business Practice Location Address City Name:
TROY
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27371-8681
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
910-572-3800
Provider Business Practice Location Address Fax Number:
910-572-3805
Provider Enumeration Date:
03/20/2006

Additional Information

Authorized Official

Authorized Official Last Name:
TAYLOR
Authorized Official First Name:
ALFRED
Authorized Official Middle Name:
P
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
704-984-4347

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  HH030795 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0736 . This is a "BCBS PROVIDER NUMBER" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 3407238 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com