MECKLENBURG DIAGNOSTIC IMAGING LLC NPI 1215080536

NPI Information

NPI: 1215080536
Provider Name: MECKLENBURG DIAGNOSTIC IMAGING LLC

Doing Business As: NOVANT HEALTH IMAGING MOORESVILLE

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
118 GATEWAY BLVD STE E
MOORESVILLE, NC
ZIP 28117
Phone: (704) 662-8580
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MECKLENBURG DIAGNOSTIC IMAGING LLC is a diagnostic radiology radiology in Mooresville, NC. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MECKLENBURG DIAGNOSTIC IMAGING LLC NPI is 1215080536. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Novant Health Imaging Mooresville.

The provider's business location address is:

118 GATEWAY BLVD STE E
MOORESVILLE, NC
ZIP 28117-542
Phone: (704) 662-8580
Fax: (704) 662-8846

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 enumeration date for this NPI number is 1/19/2007 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 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	P00315955	OTHER	NORTH CAROLINA	MEDICARE RAILROAD
2	7456027	OTHER	NORTH CAROLINA	AETNA
3	1897409	OTHER		UHC
4	020FX	OTHER	NORTH CAROLINA	BCBS
5	153718703	OTHER	NORTH CAROLINA	DOL
6	5906448	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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