Southeast Diabetic Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SOUTHEAST DIABETIC SUPPLY INC

Practice address

346 Elizabeth Brady Rd Ste B
Hillsborough, NC 27278-9540

Phone

(919) 643-2287

Fax

(919) 644-2289

NPI assigned

Dec 12, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Lois Tsui

Title

President

Phone

(919) 643-2287

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1043371230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 ELIZABETH BRADY RD STE B",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272789540",
            "telephone_number": "919-643-2287",
            "fax_number": "919-644-2289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 ELIZABETH BRADY RD STE B",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272789540",
            "telephone_number": "919-643-2287",
            "fax_number": "919-644-2289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST DIABETIC SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TSUI",
        "authorized_official_first_name": "LOIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-643-2287",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teepa Lucille Snow, MS, OTR/L, FAOTA
• Mark Jacob Solomon, PH.D.
• Theresa P Solomon
• William Alan Somers, M.D.
• Christopher Soto, LCMHCA
• Keva Doreen Southwell, PA
• Anna Fitzpatrick Sparr, PHYSICAL THERAPIST
• Simon H Spire, LCSWA
• Rivkah Zelda Krevsky Stack
• Toya Danielle Staley, CPSS

• Durable Medical Equipment & Medical Supplies in Hillsborough, NC
• Providers in Hillsborough, NC by specialty
• Durable Medical Equipment & Medical Supplies in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.