PRESBYTERIAN BREAST CENTER LLC NPI 1558312413

NPI Information

NPI: 1558312413
Provider Name: PRESBYTERIAN BREAST CENTER, LLC

Doing Business As: PRESBYTERIAN BREAST CENTER UNIVERSITY

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

Specialization: Radiology, Mammography

Address:
8401 MEDICAL PLAZA DR
CHARLOTTE, NC
ZIP 28262
Phone: (704) 384-7140
Get Directions

PRESBYTERIAN BREAST CENTER, LLC is a radiology and mammography clinic center in Charlotte, NC. PRESBYTERIAN BREAST CENTER, LLC NPI is 1558312413. The provider is registered as an organization entity type.
The provider Is Doing Business As Presbyterian Breast Center University.

The provider's business location address is:

8401 MEDICAL PLAZA DR
CHARLOTTE, NC
ZIP 28262-797
Phone: (704) 384-7140

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 11/11/2010.

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	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	89016K8	MEDICAID	NORTH CAROLINA
2	P00191119	MEDICARE ID-TYPE UNSPECIFIED
3	2881786	MEDICARE ID-TYPE UNSPECIFIED
4	16-02145	OTHER		UHC

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

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