NPIMap

Organization Active NPI

One Source Diagnostics, Inc.

  • Sleep Disorder Diagnostic Clinic/Center
  • Conover, NC
National Provider Identifier
1699957787
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
License
A-559 Issued in NC
Legal business name
ONE SOURCE DIAGNOSTICS, INC.
Practice address
3314 16TH Ave SE
Suite 201
Conover, NC 28613-9694
Phone
(704) 325-0810
Fax
(704) 325-0812
NPI assigned
Nov 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

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

Authorized official

Name
Mr. Brady Lee White, RRT-RCPNPI 1932336641
Title
President
Phone
(828) 781-7413

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X A-559 NC Primary

Addresses

Primary practice location

3314 16TH Ave SE
Suite 201
Conover, NC 28613-9694

Mailing address

3314 16TH Ave SE
Suite 201
Conover, NC 28613-9694
Phone (704) 325-0810

National Provider Directory

National Provider Directory

Locations

3314 16th Ave SE
Ste 201
Conover, NC 28613
Phone (704) 325-0810

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1699957787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3314 16TH AVE SE",
            "address_2": "SUITE 201",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286139694",
            "telephone_number": "704-325-0810",
            "fax_number": "704-325-0812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3314 16TH AVE SE",
            "address_2": "SUITE 201",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286139694",
            "telephone_number": "704-325-0810",
            "fax_number": "704-325-0812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE SOURCE DIAGNOSTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "BRADY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-781-7413",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RRT-RCP"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "NC",
            "license": "A-559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conover, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; 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.