NPIMap

Carolina Diagnostics, Inc

Organization Active NPI Sleep Disorder Diagnostic Clinic/Center · Wake Forest, NC

NPI 1073254652 · NPPES record last updated Mar 7, 2023

Key facts

NPI
1073254652
Entity type
Organization (NPI type 2)
Primary specialty
Sleep Disorder Diagnostic Clinic/Center 261QS1200X
Legal business name
CAROLINA DIAGNOSTICS, INC
Practice address
1772 Heritage Center Dr Ste 104
Wake Forest, NC 27587-9250
Phone
(919) 570-9715
NPI assigned
Apr 6, 2022
Organization subpart
No

Authorized official

Name
Steven Russell
Title
Cfo
Phone
(770) 330-7836

Corporate family (same tax ID) 8

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Carolina Diagnostics Inc (9 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X Yes

Addresses

Primary practice location

1772 Heritage Center Dr Ste 104
Wake Forest, NC 27587-9250

Mailing address

99 Rosewood Dr Ste 245
Danvers, MA 01923-4537

Other names

  • BioSerenity Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 7, 2023.

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1073254652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 ROSEWOOD DR STE 245",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019234537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1772 HERITAGE CENTER DR STE 104",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275879250",
            "telephone_number": "919-570-9715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA DIAGNOSTICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-06",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "770-330-7836"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BioSerenity",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BioSerenity",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wake Forest, NC

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

Sources for this page

Verify at the official NPI Registry.