Provider Demographics
NPI:1689722886
Name:DIAGNOSTICS OF CAROLINA,INC
Entity Type:Organization
Organization Name:DIAGNOSTICS OF CAROLINA,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:W
Authorized Official - Last Name:TOMCZYK
Authorized Official - Suffix:
Authorized Official - Credentials:RRTCPFT
Authorized Official - Phone:910-233-8510
Mailing Address - Street 1:601 CANAL DR
Mailing Address - Street 2:#9
Mailing Address - City:CAROLINA BEACH
Mailing Address - State:NC
Mailing Address - Zip Code:28428-6047
Mailing Address - Country:US
Mailing Address - Phone:910-458-7454
Mailing Address - Fax:910-458-7455
Practice Address - Street 1:601 CANAL DR
Practice Address - Street 2:#9
Practice Address - City:CAROLINA BEACH
Practice Address - State:NC
Practice Address - Zip Code:28428-6047
Practice Address - Country:US
Practice Address - Phone:910-458-7454
Practice Address - Fax:910-458-7455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory