# EZ DIAGNOSTICS, INC.

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

## Provider details

- **NPI number:** 1831494988
- **Authorized official:** MRS. CHARLENE LYDIA BLAINE CRT (OWNER/PRESIDENT)
- **Authorized official phone:** (919) 780-5900

## Contact information

- **Practice address:** 343 TECHNOLOGY DR, SUITE 1110, GARNER, NC 27529-7949
- **Practice address phone:** (919) 780-5900
- **Practice address fax:** (919) 780-5905
- **Mailing address:** 343 TECHNOLOGY DR, SUITE 1110, GARNER, NC 27529-7949
- **Mailing address phone:** (919) 780-5900
- **Mailing address fax:** (919) 780-5905

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 34166 | NC | — |
| 207R00000X | Internal Medicine Physician | 34166 | NC | — |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | — |
| 207RP1001X | Pulmonary Disease Physician | — | — | — |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | — | — |
| 2084N0400X | Neurology Physician | 037102 | NC | — |
| 2084S0012X | Sleep Medicine (Psychiatry & Neurology) Physician | — | NC | — |
| 2278P1004X | Pulmonary Diagnostics Certified Respiratory Therapist | 4125 | NC | — |
| 2278P1004X | Pulmonary Diagnostics Certified Respiratory Therapist | A 2559 | NC | — |
| 2278P1004X | Pulmonary Diagnostics Certified Respiratory Therapist | A 2855 | NC | — |
| 2278P1004X | Pulmonary Diagnostics Certified Respiratory Therapist | A 4248 | NC | — |
| 2278P1004X | Pulmonary Diagnostics Certified Respiratory Therapist | A 725 | NC | — |
| 2279P1004X | Pulmonary Diagnostics Registered Respiratory Therapist | A-5047 | NC | — |
| 261QS1200X | Sleep Disorder Diagnostic Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/21/2011
- **Last updated:** 09/15/2011