# ONE SOURCE DIAGNOSTICS, INC.

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

## Provider details

- **NPI number:** 1699957787
- **Authorized official:** MR. BRADY LEE WHITE RRT-RCP (PRESIDENT)
- **Authorized official phone:** (828) 781-7413

## Contact information

- **Practice address:** 3314 16TH AVE SE, SUITE 201, CONOVER, NC 28613-9694
- **Practice address phone:** (704) 325-0810
- **Practice address fax:** (704) 325-0812
- **Mailing address:** 3314 16TH AVE SE, SUITE 201, CONOVER, NC 28613-9694
- **Mailing address phone:** (704) 325-0810
- **Mailing address fax:** (704) 325-0812

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QS1200X | Sleep Disorder Diagnostic Clinic/Center | A-559 | NC | Yes |

## Other

- **Enumeration date:** 11/29/2007
- **Last updated:** 11/29/2007
