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TRIAD RADIOLOGY ASSOCIATES PLLC NPI 1447368659


NPI Information

NPI: 1447368659
Provider Name: TRIAD RADIOLOGY ASSOCIATES, PLLC
Classification: Radiology - 2085R0204X
Entity Type: Organization

Specialization: Vascular & Interventional Radiology

Address:
3015 MAPLEWOOD AVE STE 200
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 794-4188
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TRIAD RADIOLOGY ASSOCIATES, PLLC is a vascular and interventional radiology radiology in Winston Salem, NC. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. TRIAD RADIOLOGY ASSOCIATES, PLLC NPI is 1447368659. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3015 MAPLEWOOD AVE STE 200
WINSTON SALEM, NC
ZIP 27103-075
Phone: (336) 794-4188

The provider's authorized official is Darlene Clagett .
The authorized official title is Director and has the following contact phone number (336) 970-5318.

The enumeration date for this NPI number is 8/28/2006 and was last updated on 4/16/2018.


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
12085R0204XRadiologyVascular & Interventional RadiologyNORTH 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
1PENDINGMEDICAIDNORTH 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

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