Provider Type Icon

MEDICAL IMAGING CENTER LLC NPI 1245474022


NPI Information

NPI: 1245474022
Provider Name: MEDICAL IMAGING CENTER, LLC

Doing Business As: VALLEY REGIONAL IMAGING

Classification: Physiological Laboratory - 293D00000X
Entity Type: Organization

CLIA Number: 34D1092376

Address:
3186 VILLAGE DR
SUITE 101
FAYETTEVILLE, NC
ZIP 28304
Phone: (910) 323-2209
Get Directions

MEDICAL IMAGING CENTER, LLC is a physiological laboratory in Fayetteville, NC. The provider is a laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. MEDICAL IMAGING CENTER, LLC NPI is 1245474022. The provider is registered as an organization entity type.
The provider Is Doing Business As Valley Regional Imaging.

The provider's business location address is:

3186 VILLAGE DR
SUITE 101
FAYETTEVILLE, NC
ZIP 28304-978
Phone: (910) 323-2209
Fax: (910) 323-9680

The provider's authorized official is Brandi Henry .
The authorized official title is Executive Directory and has the following contact phone number (910) 322-5729.

The CLIA number assigned to this NPI record is 34D1092376 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/24/2009 and was last updated on 2/14/2022.


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
1293D00000XPhysiological LaboratoryLM0075NORTH CAROLINAYes

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
15912303MEDICAIDNORTH 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: 11/14/2023

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.