Wake Diagnostics Inc
Wake Diagnostics Inc is a healthcare organization registered as Clinical Medical Laboratory in Durham, NC, holding Type 2 (organization) NPI 1073006144 since 2018. The authorized official on file is Goverdhan Vavilala, Ceo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1073006144 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Wake Diagnostics Inc |
| Other name | <Unavail> |
| Practice address | 5129 NC 55, STE 103, Durham, NC, 27713 |
| Phone | 9193991215 |
| Fax | 9199819180 |
| Enumeration date | 2018-06-12 |
| Last updated in NPPES | 2025-09-12 |
Authorized official
| Name | Goverdhan Vavilala |
|---|---|
| Title | Ceo |
| Phone | 9194621494 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | Primary | 34D2150941 | NC |
Copy-ready billing details
Provider: Wake Diagnostics Inc NPI: 1073006144 Taxonomy: 291U00000X (Clinical Medical Laboratory) Address: 5129 NC 55, STE 103, Durham, NC, 27713
Verify this record
Cross-check NPI 1073006144 against the authoritative CMS record: view Wake Diagnostics Inc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Wake Diagnostics Inc?
Who is the authorized official for Wake Diagnostics Inc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-09-12.