DURHAM DIAGNOSTIC IMAGING LLC NPI 1750339933

NPI Information

NPI: 1750339933
Provider Name: DURHAM DIAGNOSTIC IMAGING LLC

Doing Business As: TRIANGLE MEDICAL PARK

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
5107 S PARK DR
DURHAM, NC
ZIP 27713
Phone: (919) 544-7199
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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 1750339933. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Triangle Medical Park.

The provider's business location address is:

5107 S PARK DR
DURHAM, NC
ZIP 27713-400
Phone: (919) 544-7199
Fax: (919) 544-2621

The provider's authorized official is Geoffrey K. Gardner .
The authorized official title is Svp Finance And Revenue Cycle and has the following contact phone number (336) 718-2078.

The CLIA number assigned to this NPI record is 34D1005729 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/4/2006 and was last updated on 3/20/2024.

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	2085R0202X	Radiology	Diagnostic Radiology		NORTH CAROLINA	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	7730393	OTHER		AETNA
2	2670289	OTHER		UHC
3	P00014222	OTHER		MEDICARE RR
4	205314601	OTHER	NORTH CAROLINA	DOL
5	020FV	OTHER	NORTH CAROLINA	BCBS
6	5902435	MEDICAID	NORTH CAROLINA

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

NPI Synchronization or Removal

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