Carolina Diagnostics Inc

Key facts

NPI

1023064334

Entity type

Organization (NPI type 2)

Primary specialty

Sleep Disorder Diagnostic Clinic/Center 261QS1200X

Legal business name

CAROLINA DIAGNOSTICS INC

Practice address

601 Keisler Dr
Suite 100
Cary, NC 27511-6567

Phone

(919) 233-8668

Fax

(919) 233-8668

NPI assigned

May 26, 2006

Organization subpart

No

Authorized official

Name

Mr. Carl R Iberger

Title

Evp-Cfo

Phone

(978) 536-6105

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Bioserenity USA Inc. Sleep Disorder Diagnostic Clinic/Center · Baltimore, MD · NPI 1457992604
  NPD member Member Of

National Provider Directory

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 27, 2014.

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403827200000",
    "number": "1023064334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE PL",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019603840",
            "telephone_number": "978-536-7400",
            "fax_number": "978-535-9757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 KEISLER DR",
            "address_2": "SUITE 100",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275116567",
            "telephone_number": "919-233-8668",
            "fax_number": "919-233-8668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA DIAGNOSTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2014-06-27",
        "status": "A",
        "authorized_official_last_name": "IBERGER",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EVP-CFO",
        "authorized_official_telephone_number": "978-536-6105",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "12467",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5950501",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00391188",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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All providers in Cary, NC · Sleep Disorder Diagnostic Clinic/Center in North Carolina