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Organization

CAROLINA DIAGNOSTICS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CARL R. IBERGER (EVP/CFO)
(978) 536-7400
Entity
Organization

Contact information

Practice address
5322 HIGHWAY 55, SUITE 102, DURHAM, NC 27713
(919) 570-9715
(919) 570-9483
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
BLUE CROSS
NC
05
5950500
NC
Enumeration date
08/10/2006
Last updated
09/21/2010
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