McPc-19, LLC
NPI 1720880404ActiveOrganization· Physiological Laboratory· Pinehurst, NC
Physiological Laboratory in Pinehurst, North Carolina, registered in NPPES in March 2025. The authorized official on file is Mickey Wheless Foster, Ceo. Enrolled in Medicare as part b supplier - independent diagnostic testing facility (idtf).
Overview
| NPI | 1720880404 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 25, 2025 |
| Last updated in NPPES | Apr 14, 2026 |
| Certified by provider | Apr 14, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physiological Laboratory Primary | 293D00000X | — | — |
| Radiology, Diagnostic Radiology | 2085R0202X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Independent Diagnostic Testing Facility (Idtf) (NC) |
|---|
Other Physiological Laboratory providers in Pinehurst
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