CAROLINA IMAGING LLC OF FAYETTEVILLE NPI 1669430971

NPI Information

NPI: 1669430971
Provider Name: CAROLINA IMAGING LLC OF FAYETTEVILLE
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
3628 CAPE CENTER DR
FAYETTEVILLE, NC
ZIP 28304
Phone: (910) 483-1321
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CAROLINA IMAGING LLC OF FAYETTEVILLE is a diagnostic radiology radiology in Fayetteville, NC. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. CAROLINA IMAGING LLC OF FAYETTEVILLE NPI is 1669430971. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3628 CAPE CENTER DR
FAYETTEVILLE, NC
ZIP 28304-406
Phone: (910) 483-1321
Fax: (910) 323-3521

The provider's authorized official is Geoffrey K. Gardner .
The authorized official title is Svp Finance And Revenue Cycle and has the following contact phone number (336) 718-2078.

The enumeration date for this NPI number is 5/3/2006 and was last updated on 3/20/2024.

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
1	2085R0202X	Radiology	Diagnostic Radiology			Yes

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
1	890108T	MEDICAID	NORTH CAROLINA
2	153417000	OTHER	NORTH CAROLINA	DOL
3	P00450149	OTHER		MEDICARE RAILROAD
4	0108T	OTHER	NORTH CAROLINA	BCBS NC

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

NPI Synchronization or Removal

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