Organization
CAROLINA DIAGNOSTICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA NAUFUL (VP COMPLIANCE & CONTRACTING)
(770) 309-2000
Entity
Organization
Contact information
Practice address
3921 SUNSET RIDGE RD, SUITE 103A, RALEIGH, NC 27607
(919) 881-1167
(919) 881-2055
Mailing address
200 CORPORATE PL, SUITE 5B, PEABODY, MA 01960-3840
(978) 536-7400
(978) 535-9757
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12467
BCBS PIN
NC
05
—
5950491
—
NC
01
—
P00391188
RAILROAD MEDICARE
NC
Enumeration date
07/02/2006
Last updated
08/22/2018
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