ONE SOURCE DIAGNOSTICS, INC. (NPI# 1699957787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699957787 |
| Entity Type | Organization |
| Organization Name | ONE SOURCE DIAGNOSTICS, INC. |
| Practice Address |
3314 16th Ave Se Suite 201 Conover NC 28613-9694 |
| Practice Telephone | 7043250810 |
| Practice Fax Number | 7043250812 |
| Mailing Telephone | 7043250810 |
| Mailing Fax Number | 7043250812 |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2007-11-29 |
| Authorized Official Name | MR. BRADY LEE WHITE (PRESIDENT) |
| Authorized Official Telephone | 8287817413 |
| Authorized Official Credential | RRT-RCP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
A-559 | NC | Ambulatory Health Care Facilities |
| Street Address |
3314 16TH AVE SE SUITE 201 |
| City | CONOVER |
| State | NC |
| Zip Code | 28613-9694 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346290517 | Benfield & Podger Assocs., Ltd | Counselor | 3314 16th Ave Se, Ste. 206, Conover, NC 28613-9694 | 2006-05-10 |
| 1841577285 | New Choice Physical Therapy, LLC | Physical Therapist | 3314 16th Ave Se, Suite 101, Conover, NC 28613-9694 | 2011-11-14 |
| 1497042873 | Ellen Lynette Inscoe | Physical Therapist | 3314 16th Ave Se, Suite 101, Conover, NC 28613-9694 | 2011-07-06 |
| 1326340951 | Caroline Ayers Parmiter | Pharmacist | 3314 16th Ave Se, Conover, NC 28613-9694 | 2010-12-02 |
| 1174661854 | Elizabeth Dianne Hilliard | Dietitian, Registered | 3314 16th Ave Se, Conover, NC 28613-9694 | 2007-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386258671 | Samantha Lackey | Hearing Instrument Specialist | 1217-f Nc Highway 16, Conover, NC 28613 | 2020-09-03 |
| 1497313381 | Gjulshana Nurceski | Internal Medicine | 203 1st St East, Conover, NC 28613 | 2019-06-05 |
| 1487162384 | Anthony T Hines | Counselor | 6055 St. Peters Church Road, Conover, NC 28613 | 2018-01-14 |
| 1780195693 | Healthstat Onsite Clinic Hsm Conover | Preventive Medicine | 120 Section House Road, Conover, NC 28613 | 2017-10-18 |
| 1487055612 | Kave Nikbakht | Pharmacist | 201 Zelkova Ct., Wal-mart Pharmacy, Conover, NC 28613 | 2014-09-08 |
| 1326457003 | Michelle Lynn Kirby | Pharmacist | 126 1st Avenue South, Conover, NC 28613 | 2014-08-07 |
| 1255676904 | Norris Franklin Buff | Pharmacist | 498 6th Ave Ne, Conover, NC 28613 | 2012-12-06 |
| 1043560964 | Nicole Elizabeth Flinn | Pharmacist | 508 K 10th Street Nw, Conover, NC 28613 | 2012-09-18 |
| 1508115171 | Jannie Sue Phillips | Occupational Therapist | 2917 14th Ave Ne, Conover, NC 28613 | 2012-08-29 |
| 1861792707 | Susan Kochel Pearce | Physical Therapist | 2372 Eagle Drive, New Beginnings Pediatric Therapy, LLC, Conover, NC 28613 | 2010-10-26 |
| Find all providers in zip 28613 | ||||
| Taxonomy Code | 261QS1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Sleep Disorder Diagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689292625 | Triangle Diagnostic | Clinic/Center | 320 N Judd Pkwy Ne Ste 228, Fuquay Varina, NC 27526-2624 | 2020-07-07 |
| 1477112100 | Moyock Institute LLC | Clinic/Center | 246 Oxford Rd, Moyock, NC 27958-8763 | 2019-06-06 |
| 1477057545 | Accurate Sleep Diagnostic Center LLC | Clinic/Center | 4220 Locks Creek Church Road, Fayetteville, NC 28312 | 2018-03-22 |
| 1649783119 | Idlewild Family Dentistry, LLC | Clinic/Center | 4801 Indian Trail Fairview Rd, Indian Trail, NC 28079-8865 | 2017-11-07 |
| 1104286434 | Center for Integrative Sleep Medicine, Pllc | Clinic/Center | 8037 Corporate Center Dr Ste 400, Charlotte, NC 28226-4550 | 2016-02-29 |
| 1770951261 | Robert Grant | Clinic/Center | 201b S Madison Blvd, Roxboro, NC 27573-5461 | 2015-09-14 |
| 1508264805 | Healthcare Partners Consulting and Billing, LLC | Clinic/Center | 212 Billetts Bridge Rd, Camden, NC 27921-7505 | 2014-12-18 |
| 1114324522 | American Respiratory Labs In Home LLC | Clinic/Center | 1345 Shirebourn, Hickory, NC 28602-8264 | 2014-12-01 |
| 1013268507 | Respicare Dme Inc | Clinic/Center | 2515 Oakcrest Ave, Greensboro, NC 27408-4724 | 2012-09-25 |
| 1922318583 | Twinklescape Sleep Disorders Center-raleigh | Clinic/Center | 9650 Strickland Road, Suite 103-140, Raleigh, NC 27615-1903 | 2010-10-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.