SOUTHERN PINES DIAGNOSTIC IMAGING LLC NPI 1467068833

NPI Information

  • NPI: 1467068833
  • Provider Name: SOUTHERN PINES DIAGNOSTIC IMAGING, LLC
  • Classification: Physiological Laboratory - 293D00000X
  • Entity Type: Organization
  • Doing Business As: FIRSTHEALTH IMAGING - SOUTHERN PINES
  • CLIA Number: 34D1060510
  • Address: 355 S BENNETT ST
    SOUTHERN PINES, NC
    ZIP 28387
  • Phone: (910) 692-7449

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NPI Details

SOUTHERN PINES DIAGNOSTIC IMAGING, LLC is a physiological laboratory in Southern Pines, 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. SOUTHERN PINES DIAGNOSTIC IMAGING, LLC NPI is 1467068833. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Firsthealth Imaging - Southern Pines.

The provider's business location address is:

355 S BENNETT ST
SOUTHERN PINES, NC
ZIP 28387-403
Phone: (910) 692-7449
Fax: (910) 692-7581

The provider's authorized official is Mickey Foster .
The authorized official title is Ceo and has the following contact phone number (910) 715-4473.

The CLIA number assigned to this NPI record is 34D1060510 - other with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • Mri scan of arm joint without contrast (HCPCS:73221)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • Mri scan of leg without contrast (HCPCS:73718)
  • Mri scan of middle spinal canal without contrast (HCPCS:72146)
  • Mri scan of abdomen before and after contrast (HCPCS:74183)

The enumeration date for this NPI number is 9/21/2020 and was last updated on 12/31/2024.

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
12085R0202XRadiologyDiagnostic RadiologyNo
2293D00000XPhysiological LaboratoryYes

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: 11/21/2025

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