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PIEDMONT IMAGING LLC NPI 1174797617


NPI Information

NPI: 1174797617
Provider Name: PIEDMONT IMAGING LLC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

CLIA Number: 34D1012700

Address:
185 KIMEL PARK DR
SUITE 100
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 760-1880
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PIEDMONT IMAGING LLC is a diagnostic radiology radiology in Winston Salem, NC. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. PIEDMONT IMAGING LLC NPI is 1174797617. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

185 KIMEL PARK DR
SUITE 100
WINSTON SALEM, NC
ZIP 27103-973
Phone: (336) 760-1880
Fax: (336) 760-1807

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

The CLIA number assigned to this NPI record is 34D1012700 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/16/2008 and was last updated on 8/25/2012.


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 RadiologyYes

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
12316747MEDICARE PINNORTH CAROLINA
2CA6811OTHERMEDICARE RAILROAD

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.