Provider Demographics
NPI:1427173996
Name:EASTCOAST DIAGNOSTICS & SLEEP CENTERS, INC.
Entity type:Organization
Organization Name:EASTCOAST DIAGNOSTICS & SLEEP CENTERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:W
Authorized Official - Last Name:CROMER
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:910-200-9932
Mailing Address - Street 1:PO BOX 10487
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28404-0487
Mailing Address - Country:US
Mailing Address - Phone:910-200-9932
Mailing Address - Fax:910-686-8673
Practice Address - Street 1:3520 TORINGDON WAY
Practice Address - Street 2:SUITE 103
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-2421
Practice Address - Country:US
Practice Address - Phone:704-341-2247
Practice Address - Fax:704-341-2248
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2007-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic