SOUTHEASTERN REGIONAL PHYSICIAN SERVICES NPI 1558798348

NPI Information

  • NPI: 1558798348
  • Provider Name: SOUTHEASTERN REGIONAL PHYSICIAN SERVICES
  • Classification: Clinic/Center - 261QR0200X
  • Specialization: Radiology
  • Entity Type: Organization
  • Doing Business As: SOUTHEASTERN RADIOLOGY ASSOCIATES-LRA
  • Address: 209 W 27TH ST
    LUMBERTON, NC
    ZIP 28358
  • Phone: (910) 738-8222

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NPI Details

SOUTHEASTERN REGIONAL PHYSICIAN SERVICES is a radiology clinic center in Lumberton, NC. SOUTHEASTERN REGIONAL PHYSICIAN SERVICES NPI is 1558798348. The provider is registered as an organization entity type.
The provider Is Doing Business As Southeastern Radiology Associates-lra.

The provider's business location address is:

209 W 27TH ST
LUMBERTON, NC
ZIP 28358-016
Phone: (910) 738-8222
Fax: (910) 671-8175

The provider's authorized official is Fordham B Britt .
The authorized official title is Director and has the following contact phone number (910) 671-5026.

The enumeration date for this NPI number is 10/11/2013 and was last updated on 10/11/2013.

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
1261QR0200XClinic/CenterRadiologyH0064NORTH CAROLINAYes

What is NPI?

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This page was last updated on: 3/30/2025

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