PRESBYTERIAN IMAGING CENTERS LLC NPI 1194776765

NPI Information

NPI: 1194776765
Provider Name: PRESBYTERIAN IMAGING CENTERS LLC

Doing Business As: NOVANT HEALTH IMAGING BALLANTYNE

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
14215 BALLANTYNE CORPORATE PLACE
STE 140
CHARLOTTE, NC
ZIP 28277
Phone: (704) 384-1890
Get Directions

PRESBYTERIAN IMAGING CENTERS LLC is a diagnostic radiology radiology in Charlotte, NC. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. PRESBYTERIAN IMAGING CENTERS LLC NPI is 1194776765. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Novant Health Imaging Ballantyne.

The provider's business location address is:

14215 BALLANTYNE CORPORATE PLACE
STE 140
CHARLOTTE, NC
ZIP 28277-146
Phone: (704) 384-1890

The provider's authorized official is Geoffrey K. Gardner .
The authorized official title is Credentialing and has the following contact phone number (678) 992-7255.

The enumeration date for this NPI number is 5/16/2006 and was last updated on 3/19/2024.

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 State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology		Yes
2	261QR0200X	Clinic/Center	Radiology		No
3	293D00000X	Physiological Laboratory		NORTH CAROLINA	No

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	1602272	OTHER		UHC
2	P00471056	OTHER		RAILROAD MEDICARE
3	5917811	MEDICAID	NORTH CAROLINA
4	615320702	OTHER	NORTH CAROLINA	NC DOL

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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