# CAROLINA MEDICAL DIAGNOSTICS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104015338
- **Authorized official:** KULSOOM ROY (DIRECTOR)
- **Authorized official phone:** (704) 796-1358

## Contact information

- **Practice address:** 663 BAROSSA VALLEY DR, CONCORD, NC 28027-8029
- **Practice address phone:** (704) 796-1358
- **Mailing address:** 663 BAROSSA VALLEY DR, CONCORD, NC 28027-8029

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085U0001X | Diagnostic Ultrasound Physician | — | NULL | Yes |
| 2085U0001X | Diagnostic Ultrasound Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/24/2007
- **Last updated:** 10/24/2007