PRESBYTERIAN BREAST CENTER LLC NPI 1558312413

NPI Information

  • NPI: 1558312413
  • Provider Name: PRESBYTERIAN BREAST CENTER, LLC
  • Classification: Clinic/Center - 261QR0206X
  • Specialization: Radiology, Mammography
  • Entity Type: Organization
  • Doing Business As: PRESBYTERIAN BREAST CENTER UNIVERSITY
  • Address: 8401 MEDICAL PLAZA DR
    CHARLOTTE, NC
    ZIP 28262
  • Phone: (704) 384-7140

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NPI Details

PRESBYTERIAN BREAST CENTER, LLC is a radiology and mammography clinic center in Charlotte, NC. PRESBYTERIAN BREAST CENTER, LLC NPI is 1558312413. The provider is registered as an organization entity type.
The provider Is Doing Business As Presbyterian Breast Center University.

The provider's business location address is:

8401 MEDICAL PLAZA DR
CHARLOTTE, NC
ZIP 28262-797
Phone: (704) 384-7140

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 5/15/2006 and was last updated on 11/11/2010.

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
1261QR0206XClinic/CenterRadiology, MammographyYes

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
189016K8MEDICAIDNORTH CAROLINA
2P00191119MEDICARE ID-TYPE UNSPECIFIED
32881786MEDICARE ID-TYPE UNSPECIFIED
416-02145OTHERUHC

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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