MECKLENBURG DIAGNOSTIC IMAGING LLC NPI 1265480446

NPI Information

NPI: 1265480446
Provider Name: MECKLENBURG DIAGNOSTIC IMAGING LLC

Doing Business As: NORTH CAROLINA DIAGNOSTIC IMAGING - GASTONIA

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
3723 UNION RD
GASTONIA, NC
ZIP 28056
Phone: (704) 854-3933
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MECKLENBURG DIAGNOSTIC IMAGING LLC is a diagnostic radiology radiology in Gastonia, 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 1265480446. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As North Carolina Diagnostic Imaging - Gastonia.

The provider's business location address is:

3723 UNION RD
GASTONIA, NC
ZIP 28056-044
Phone: (704) 854-3933
Fax: (704) 854-3995

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

The enumeration date for this NPI number is 5/4/2006 and was last updated on 4/15/2013.

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	017M7	OTHER	NORTH CAROLINA	BCBS NC
2	5902729	MEDICAID	NORTH CAROLINA
3	153718701	OTHER	NORTH CAROLINA	DOL
4	2881744A	MEDICARE PIN	NORTH CAROLINA
5	SL0082	MEDICAID	SOUTH CAROLINA
6	=========005	OTHER	NORTH CAROLINA	TRICARE
7	P00315955	OTHER		MEDICARE RR

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: 5/5/2024

NPI Synchronization or Removal

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