Organization
CAROLINA DIAGNOSTICS INC
Active
Other names
BioSerenity
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE SHOCK (EVP CLINICAL OPERATIONS)
(214) 532-3757
Entity
Organization
Contact information
Practice address
1772 HERITAGE CENTER DR STE 104, WAKE FOREST, NC 27587-9250
(919) 570-9715
(919) 570-9483
Mailing address
99 ROSEWOOD DR STE 245, DANVERS, MA 01923-4537
(978) 536-7400
(975) 535-9778
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
—
5950497
—
NC
Enumeration date
06/25/2006
Last updated
05/10/2022
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