VALLEY RADIOLOGY AT ANGIER LLC NPI 1689854812

NPI Information

NPI: 1689854812
Provider Name: VALLEY RADIOLOGY AT ANGIER LLC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

CLIA Number: 34D2057836

Address:
169 RAWLS RD.
ANGIER, NC
ZIP 27501
Phone: (919) 331-2001
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VALLEY RADIOLOGY AT ANGIER LLC is a diagnostic radiology radiology in Angier, NC. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. VALLEY RADIOLOGY AT ANGIER LLC NPI is 1689854812. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

169 RAWLS RD.
ANGIER, NC
ZIP 27501
Phone: (919) 331-2001
Fax: (919) 331-2003

The provider's authorized official is Max H Faykus .
The authorized official title is President and has the following contact phone number (910) 486-5700.

The CLIA number assigned to this NPI record is 34D2057836 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/5/2007 and was last updated on 7/21/2022.

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		NORTH CAROLINA	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	01572	OTHER		BCBS
2	1630307	OTHER	NORTH CAROLINA	PHP
3	QPA797	OTHER	NORTH CAROLINA	SC MEDICAID
4	8901572	MEDICAID	NORTH CAROLINA
5	204310	OTHER	NORTH CAROLINA	MEDICARE

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: 5/5/2024

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