WAKE RADIOLOGY CONSULTANTS PA NPI 1285698126

NPI Information

NPI: 1285698126
Provider Name: WAKE RADIOLOGY CONSULTANTS, PA
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

CLIA Number: 34D2015061

Address:
3949 BROWNING PL
RALEIGH, NC
ZIP 27609
Phone: (919) 787-8221
Get Directions

WAKE RADIOLOGY CONSULTANTS, PA is a diagnostic radiology radiology in Raleigh, NC. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. WAKE RADIOLOGY CONSULTANTS, PA NPI is 1285698126. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3949 BROWNING PL
RALEIGH, NC
ZIP 27609-536
Phone: (919) 787-8221
Fax: (919) 881-2079

The provider's authorized official is Charles Thomas Wilcox .
The authorized official title is Business Manager and has the following contact phone number (919) 787-8221.

The CLIA number assigned to this NPI record is 34D2015061 - other - radiology office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/17/2006 and was last updated on 9/1/2021.

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	Primary
1	2085B0100X	Radiology	Body Imaging	No
2	2085D0003X	Radiology	Diagnostic Neuroimaging	No
3	2085N0700X	Radiology	Neuroradiology	No
4	2085P0229X	Radiology	Pediatric Radiology	No
5	2085R0204X	Radiology	Vascular & Interventional Radiology	No
6	2085R0202X	Radiology	Diagnostic Radiology	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	CC3793	OTHER	NORTH CAROLINA	RAILROAD MEDICARE
2	8902888	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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