PRESBYTERIAN IMAGING CENTERS LLC NPI 1407003510

NPI Information

NPI: 1407003510
Provider Name: PRESBYTERIAN IMAGING CENTERS LLC

Doing Business As: PRESBYTERIAN DIAGNOSTIC CENTER - MONROE

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
2000 WELLNESS BOULEVARD
STE 110
MONROE, NC
ZIP 28110
Phone: (704) 316-1180
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PRESBYTERIAN IMAGING CENTERS LLC is a diagnostic radiology radiology in Monroe, NC. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. PRESBYTERIAN IMAGING CENTERS LLC NPI is 1407003510. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Presbyterian Diagnostic Center - Monroe.

The provider's business location address is:

2000 WELLNESS BOULEVARD
STE 110
MONROE, NC
ZIP 28110-764
Phone: (704) 316-1180
Fax: (704) 316-1181

The provider's authorized official is Fred M Hargett .
The authorized official title is Evp Cfo and has the following contact phone number (704) 384-5184.

The enumeration date for this NPI number is 8/20/2008 and was last updated on 9/13/2012.

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			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	2881790E	OTHER		PTAN
2	NPB425	OTHER	NORTH CAROLINA	SC MEDICAID
3	5917804	MEDICAID	NORTH CAROLINA
4	P00187889	OTHER	NORTH CAROLINA	RR MEDICARE
5	2881790E	MEDICARE PIN	NORTH CAROLINA
6	016M6	OTHER	NORTH CAROLINA	BCBS
7	615320700	OTHER	NORTH CAROLINA	DOL
8	=========006	OTHER	NORTH CAROLINA	TRICARE

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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