DURHAM DIAGNOSTIC IMAGING LLC NPI 1821046004

NPI Information

  • NPI: 1821046004
  • Provider Name: DURHAM DIAGNOSTIC IMAGING LLC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Doing Business As: INDEPENDENCE PARK
  • CLIA Number: 34D0999196
  • Address: 4323 BEN FRANKLIN BLVD
    DURHAM, NC
    ZIP 27704
  • Phone: (919) 471-4840

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NPI Details

DURHAM DIAGNOSTIC IMAGING LLC is a diagnostic radiology radiology in Durham, NC. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DURHAM DIAGNOSTIC IMAGING LLC NPI is 1821046004. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Independence Park.

The provider's business location address is:

4323 BEN FRANKLIN BLVD
DURHAM, NC
ZIP 27704-177
Phone: (919) 471-4840
Fax: (919) 321-1575

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 CLIA number assigned to this NPI record is 34D0999196 - other with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
  • Injection, gadobutrol, 0.1 ml (HCPCS:A9585)
  • Screening mammography (HCPCS:77067)
  • Screening 3d breast mammography (HCPCS:77063)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Diagnostic mammography of both breasts (HCPCS:77066)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Mri scan of brain without contrast (HCPCS:70551)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Limited ultrasound scan behind abdominal cavity (HCPCS:76775)
  • Biopsy of breast and placement of locating device using x-ray with needle, first growth (HCPCS:19081)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Ultrasound scan of abdominal aorta (HCPCS:76706)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • Biopsy of breast and placement of locating device using ultrasound, first growth (HCPCS:19083)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of upper spine, 4-5 views (HCPCS:72050)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • Single contrast x-ray of esophagus (HCPCS:74220)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Mri scan of abdomen before and after contrast (HCPCS:74183)
  • Ct scan of face without contrast (HCPCS:70486)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Mri scan of pelvis before and after contrast (HCPCS:72197)
  • X-ray of ribs on side of body, minimum of 3 views (HCPCS:71101)
  • Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina (HCPCS:76830)
  • Ct scan of chest with contrast (HCPCS:71260)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • Low dose ct scan of chest for lung cancer screening (HCPCS:71271)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • Limited ultrasound scan of joint or other extremity structure lacking blood vessels (HCPCS:76882)
  • Ultrasound scan of scrotum (HCPCS:76870)
  • X-ray of middle spine, 3 views (HCPCS:72072)
  • Mri scan of blood vessels of head without contrast (HCPCS:70544)
  • Mri scan of middle spinal canal without contrast (HCPCS:72146)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • X-ray of both hips, 3-4 views (HCPCS:73522)
  • Complete ultrasound scan of pelvis (HCPCS:76856)

The enumeration date for this NPI number is 5/4/2006 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
12085R0202XRadiologyDiagnostic RadiologyNORTH CAROLINAYes

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
189014E3MEDICAIDNORTH CAROLINA
20187QOTHERNORTH CAROLINABCBS NC
3205314600OTHERNORTH CAROLINADOL
4P00014222OTHERMEDICARE RR

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: 3/30/2025

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