SOUTHEAST RADIOLOGY ASSOCIATES PLLC NPI 1881239093

NPI Information

NPI: 1881239093
Provider Name: SOUTHEAST RADIOLOGY ASSOCIATES PLLC
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
10926 DAVID TAYLOR DR STE 120
CHARLOTTE, NC
ZIP 28262
Phone: (704) 345-0789
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SOUTHEAST RADIOLOGY ASSOCIATES PLLC is a radiology clinic center in Charlotte, NC. SOUTHEAST RADIOLOGY ASSOCIATES PLLC NPI is 1881239093. The provider is registered as an organization entity type.

The provider's business location address is:

10926 DAVID TAYLOR DR STE 120
CHARLOTTE, NC
ZIP 28262-042
Phone: (704) 345-0789

The provider's authorized official is Jonathan Lozevski .
The authorized official title is Mbr and has the following contact phone number (704) 345-0789.

The enumeration date for this NPI number is 11/12/2019 and was last updated on 11/12/2019.

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	261QR0200X	Clinic/Center	Radiology			Yes

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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