Provider Demographics
NPI:1730576208
Name:SANFILIPPO, ALAN MARK (PHD)
Entity type:Individual
Prefix:
First Name:ALAN
Middle Name:MARK
Last Name:SANFILIPPO
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 MANNING DR
Mailing Address - Street 2:MCLENDON CLINICAL LABORATORIES
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-4220
Mailing Address - Country:US
Mailing Address - Phone:919-966-4676
Mailing Address - Fax:919-966-6718
Practice Address - Street 1:101 MANNING DR
Practice Address - Street 2:MCLENDON CLINICAL LABORATORIES
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-4220
Practice Address - Country:US
Practice Address - Phone:919-966-4676
Practice Address - Fax:919-966-6718
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-22
Last Update Date:2015-04-22
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory