Triad Diabetic Supplies

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

5357320001 Issued in NC

Legal business name

TRIAD DIABETIC SUPPLIES

Doing business as

Southeast Diabetic supply, Inc

Practice address

346 Elizabeth Brady Rd
Suite D
Hillsborough, NC 27278-9540

Phone

(919) 643-2287

Fax

(919) 644-2289

NPI assigned

Aug 9, 2006

Last updated

Aug 22, 2020By the provider in NPPES

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

Vice-President

Phone

(919) 643-2287

Specialties & licenses 1

Addresses

Other names 1

• Southeast Diabetic supply, Inc Doing business as

Locations

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265442560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 ELIZABETH BRADY RD",
            "address_2": "SUITE D",
            "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",
            "address_2": "SUITE D",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272789540",
            "telephone_number": "919-643-2287",
            "fax_number": "919-644-2289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIAD DIABETIC SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TSUI",
        "authorized_official_first_name": "LOIS",
        "authorized_official_title_or_position": "VICE-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": "5357320001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southeast Diabetic supply, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Aug 22, 2020; 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.