Carolina Diagnostics, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CAROLINA DIAGNOSTICS, INC

Practice address

4109 Stuart Andrew Blvd Ste H
Suite H
Charlotte, NC 28217-1582

Phone

(978) 536-7400

NPI assigned

Jun 22, 2007

Organization subpart

No

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

Authorized official

Name

Carl R Iberger

Title

Evp-Cfo

Phone

(978) 536-7400

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356547764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 CHASTAIN CENTER BLVD NW",
            "address_2": "SUITE 66",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301445598",
            "telephone_number": "978-536-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4109 STUART ANDREW BLVD STE H",
            "address_2": "SUITE H",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282171582",
            "telephone_number": "978-536-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA DIAGNOSTICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2020-08-22",
        "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": "978-536-7400"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina Concierge Therapeutics, PLLC
• Carolina Counseling Co PLLC
• Carolina Counseling Group, LLC
• Carolina Cross Connection, Inc
• Carolina Dermatology, LLC
• Carolina Digestive Health Associates, PA
• Carolina Digestive Health Associates, PA
• Carolina Disc Associates, P.C.
• Carolina Ear, Nose & Throat Head and Neck Surgery Center, P.a.
• Carolina Endovascular and Interventional PLLC

• All providers in Charlotte, NC
• 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.