Organization
CAROLINA DIAGNOSTICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL R IBERGER (EVP/CFO)
(978) 536-6105
Entity
Organization
Contact information
Practice address
1602 PHYSICIANS DR, SUITE 102, WILMINGTON, NC 28401-7350
(910) 772-1518
(910) 772-1703
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5950502
—
NC
Enumeration date
05/28/2006
Last updated
01/08/2009
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