Provider Demographics
NPI:1184083479
Name:CAROLINA LUNG CLINIC, PA
Entity type:Organization
Organization Name:CAROLINA LUNG CLINIC, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ARUN
Authorized Official - Middle Name:
Authorized Official - Last Name:ADLAKHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-329-6903
Mailing Address - Street 1:370 S HERLONG AVE
Mailing Address - Street 2:SUITE 1000
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732-1160
Mailing Address - Country:US
Mailing Address - Phone:803-251-9502
Mailing Address - Fax:803-327-0023
Practice Address - Street 1:370 S HERLONG AVE
Practice Address - Street 2:SUITE 1000
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-1160
Practice Address - Country:US
Practice Address - Phone:803-251-9502
Practice Address - Fax:803-327-0023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-16
Last Update Date:2018-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC1366435422OtherNPI
SC1366435422OtherNPI