Provider Demographics
NPI:1235022161
Name:PROPMED BIOSCREEN SOLUTIONS
Entity type:Organization
Organization Name:PROPMED BIOSCREEN SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BREA
Authorized Official - Middle Name:
Authorized Official - Last Name:MUDDINEDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-504-0099
Mailing Address - Street 1:1140 KILDAIRE FARM RD STE 108
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-4596
Mailing Address - Country:US
Mailing Address - Phone:919-504-0099
Mailing Address - Fax:
Practice Address - Street 1:1140 KILDAIRE FARM RD STE 108
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-4596
Practice Address - Country:US
Practice Address - Phone:919-504-0099
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-30
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory