Eastcoast Diagnostics & Sleep Centers, Inc.

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

EASTCOAST DIAGNOSTICS & SLEEP CENTERS, INC.

Practice address

1830 Owen Dr
Suite 103
Fayetteville, NC 28304-1611

Phone

(910) 860-8378

Fax

(910) 860-8379

NPI assigned

Jul 28, 2006

Last updated

Apr 9, 2008By 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

John Willard Cromer Jr., MD

Title

Partner

Phone

(910) 860-8378

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1467466276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10487",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284040487",
            "telephone_number": "910-200-9932",
            "fax_number": "910-686-8693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 OWEN DR",
            "address_2": "SUITE 103",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283041611",
            "telephone_number": "910-860-8378",
            "fax_number": "910-860-8379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTCOAST DIAGNOSTICS & SLEEP CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "CROMER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "WILLARD",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "910-860-8378",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE P TAN NUMBER",
            "identifier": "2881808",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89014H2",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Sleep Disorder Diagnostic Clinic/Center in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Sleep Disorder Diagnostic Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.