{"npi":"1265538342","type":"NPI-2","status":"active","name":{"display":"Carolina Vascular Laboratory","other":[],"organization_name":"CAROLINA VASCULAR LABORATORY","authorised_official":"David Glenn"},"specialty":{"primary_taxonomy":"293D00000X","primary_taxonomy_description":"Physiological Laboratory","slug":"physiological-laboratory","schema_org_specialty":null,"all":[{"code":"293D00000X","description":"Physiological Laboratory","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"420 5TH AVE W","city":"HENDERSONVILLE","state":"NC","postal_code":"287394202","country_code":"US","street_2":"SUITE 100","phone":"8286963833","fax":"8286936629"},{"purpose":"MAILING","street_1":"420 5TH AVE W","city":"HENDERSONVILLE","state":"NC","postal_code":"287394202","country_code":"US","street_2":"SUITE 100","phone":"8286963833","fax":"8286936629"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"0194R","state":"NC","issuer":"BLUE CROSS BLUE SHIELD NC"},{"type_code":"05","label":"Medicaid","value":"8935971","state":"NC","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-09-15","last_updated":"2020-08-22","_meta":{"source":"NPPES","snapshot_date":"2020-08-22","doc_url":"https://findmynpi.com/api"}}