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DURHAM DIAGNOSTIC IMAGING LLC NPI 1578511770


NPI Information

NPI: 1578511770
Provider Name: DURHAM DIAGNOSTIC IMAGING LLC

Doing Business As: CENTRAL MEDICAL PARK

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
2609 N DUKE ST
SUITES 303 & 303A
DURHAM, NC
ZIP 27704
Phone: (919) 220-5109
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DURHAM DIAGNOSTIC IMAGING LLC is a diagnostic radiology radiology in Durham, NC. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DURHAM DIAGNOSTIC IMAGING LLC NPI is 1578511770. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Central Medical Park.

The provider's business location address is:

2609 N DUKE ST
SUITES 303 & 303A
DURHAM, NC
ZIP 27704-048
Phone: (919) 220-5109
Fax: (919) 321-1575

The provider's authorized official is Daniel J Schaefer .
The authorized official title is Coo and has the following contact phone number (770) 300-0101.

The enumeration date for this NPI number is 5/4/2006 and was last updated on 12/17/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyNORTH CAROLINAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1P00014222OTHERMEDICARE RR
22881760MEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINAIDTF

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: 4/28/2024

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