STANLY COUNTY IMAGING PLLC NPI 1235134958

NPI Information

  • NPI: 1235134958
  • Provider Name: STANLY COUNTY IMAGING PLLC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • CLIA Number: 34D2326289
  • Address: 301 YADKIN ST
    ALBEMARLE, NC
    ZIP 28001
  • Phone: (704) 984-4385

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NPI Details

STANLY COUNTY IMAGING PLLC is a diagnostic radiology radiology in Albemarle, NC. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. STANLY COUNTY IMAGING PLLC NPI is 1235134958. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

301 YADKIN ST
ALBEMARLE, NC
ZIP 28001-441
Phone: (704) 984-4385

The provider's authorized official is Peter B Gusmer .
The authorized official title is President and has the following contact phone number (610) 457-7964.

The CLIA number assigned to this NPI record is 34D2326289 - other - detention center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/17/2005 and was last updated on 2/24/2020.

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
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
189011RNMEDICAIDNORTH CAROLINA
2011RNOTHERNORTH CAROLINABCBS OF NORTH CAROLINA
3CH4185OTHERRAILROAD MEDICARE

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: 11/21/2025

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