Provider Demographics
NPI:1225780364
Name:DRIPOLOGY LABS
Entity Type:Organization
Organization Name:DRIPOLOGY LABS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BILLY
Authorized Official - Middle Name:JOE
Authorized Official - Last Name:SAMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-785-1941
Mailing Address - Street 1:2660 MCPHAIL RD
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:NC
Mailing Address - Zip Code:28358-4302
Mailing Address - Country:US
Mailing Address - Phone:910-785-1941
Mailing Address - Fax:
Practice Address - Street 1:511 N REILLY RD STE A-188
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28303-2440
Practice Address - Country:US
Practice Address - Phone:910-828-2936
Practice Address - Fax:910-828-2935
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-20
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty