PRESBYTERIAN BREAST CENTER LLC NPI 1326099201

NPI Information

NPI: 1326099201
Provider Name: PRESBYTERIAN BREAST CENTER LLC

Doing Business As: NOVANT HEALTH BREAST CENTER

Classification: Clinic/Center - 261QR0206X
Entity Type: Organization

Specialization: Radiology, Mammography

Address:
1718 E 4TH ST
STE 103
CHARLOTTE, NC
ZIP 28204
Phone: (704) 384-5000
Get Directions

PRESBYTERIAN BREAST CENTER LLC is a radiology and mammography clinic center in Charlotte, NC. PRESBYTERIAN BREAST CENTER LLC NPI is 1326099201. The provider is registered as an organization entity type.
The provider Is Doing Business As Novant Health Breast Center.

The provider's business location address is:

1718 E 4TH ST
STE 103
CHARLOTTE, NC
ZIP 28204-260
Phone: (704) 384-5000

The provider's authorized official is Fred M Hargett .
The authorized official title is Evp Cfo and has the following contact phone number (704) 384-5184.

The enumeration date for this NPI number is 5/15/2006 and was last updated on 7/10/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	293D00000X	Physiological Laboratory			NORTH CAROLINA	No
2	261QR0206X	Clinic/Center	Radiology, Mammography			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2881786	MEDICARE ID-TYPE UNSPECIFIED
2	89016K8	MEDICAID	NORTH CAROLINA
3	615320500	OTHER	NORTH CAROLINA	NC DOL
4	16-42372	OTHER		UHC
5	P00191119	MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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