CAPE FEAR DIAGNOSTIC IMAGING LLC NPI 1639335797

NPI Information

  • NPI: 1639335797
  • Provider Name: CAPE FEAR DIAGNOSTIC IMAGING, LLC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Doing Business As: NORTH CAROLINA DIAGNOSTIC IMAGING-WATERFORD
  • Address: 509 OLDE WATERFORD WAY
    SUITE 104
    LELAND, NC
    ZIP 28451
  • Phone: (910) 383-6047

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NPI Details

CAPE FEAR DIAGNOSTIC IMAGING, LLC is a diagnostic radiology radiology in Leland, NC. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. CAPE FEAR DIAGNOSTIC IMAGING, LLC NPI is 1639335797. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As North Carolina Diagnostic Imaging-waterford.

The provider's business location address is:

509 OLDE WATERFORD WAY
SUITE 104
LELAND, NC
ZIP 28451-125
Phone: (910) 383-6047
Fax: (910) 383-6210

The provider's authorized official is Daniel J Schaefer .
The authorized official title is C.o.o. and has the following contact phone number (770) 300-0101.

The enumeration date for this NPI number is 7/29/2008 and was last updated on 1/14/2009.

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 RadiologyYes

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
15950412MEDICAIDNORTH CAROLINA
22881726AMEDICARE PINNORTH CAROLINA
3011VWOTHERNORTH CAROLINABCBS
4020XHOTHERNORTH CAROLINABCBS
5=========002OTHERNORTH CAROLINATRICARE

What is NPI?

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

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