Organization
CAROLINA DIAGNOSTICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL R IBERGER (EVP-CFO)
(978) 536-7400
Entity
Organization
Contact information
Practice address
123 SUNNYBROOK RD, STE 140, RALEIGH, NC 27610-2783
(919) 250-3378
Mailing address
200 CORPORATE PL, SUITE 5B, PEABODY, MA 01960-3840
(978) 536-7400
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12467
BCBS PIN
NC
05
—
5915657
—
NC
Enumeration date
03/27/2007
Last updated
06/27/2014
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