Active NPI
Carolina Diagnostics Inc
- Sleep Disorder Diagnostic Clinic/Center
- Durham, NC
National Provider Identifier
1801807599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Disorder Diagnostic Clinic/Center
- Legal business name
- CAROLINA DIAGNOSTICS INC
- Practice address
- 5322 Highway 55
Suite 102
Durham, NC 27713 - Phone
- (919) 570-9715
- Fax
- (919) 570-9483
- NPI assigned
- Aug 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Carl R. Iberger
- Title
- Evp/Cfo
- Phone
- (978) 536-7400
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Disorder Diagnostic Clinic/Center | 261QS1200X | Primary | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
5322 Highway 55
Suite 102
Durham, NC 27713
Mailing address
200 Corporate PL
Suite 5B
Peabody, MA 01960-3840
Phone (978) 536-7400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12467 | Other | NC | BLUE CROSS |
| 5950500 | Medicaid | NC |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Pivotal Health
- Sleep Disorder Diagnostic Clinic/Center
- Baltimore, MD
- NPI 1457992604
Member Of
Locations
200 Corporate Pl
Ste B
Peabody, MA 01960
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1285027200000",
"number": "1801807599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CORPORATE PL",
"address_2": "SUITE 5B",
"city": "PEABODY",
"state": "MA",
"postal_code": "019603840",
"telephone_number": "978-536-7400",
"fax_number": "978-535-9757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5322 HIGHWAY 55",
"address_2": "SUITE 102",
"city": "DURHAM",
"state": "NC",
"postal_code": "27713",
"telephone_number": "919-570-9715",
"fax_number": "919-570-9483"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLINA DIAGNOSTICS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-10",
"last_updated": "2010-09-21",
"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",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QS1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Sleep Disorder Diagnostic",
"state": null,
"license": null,
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "12467",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5950500",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
- Carolina Center for Autism Services, LLC (Carolina Center for ABA and Autism Treatment)
- Carolina Community and Family Services
- Carolina Community Support Services, Inc.
- Carolina Community Support Services, Inc.
- Carolina Counseling and Life Coaching PLLC (Barb Gau LCSW)
- Carolina Diagnostics, Inc.
- Carolina ENT, PLLC
- Carolina Eye Clinic PLLC
- Carolina Foot Specialists
- Carolina Head and Spine Clinic of Chiropractic,PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.