SOUTHEASTERN IMAGING CONSULTANTS OF CARY LLC NPI 1841232311

NPI Information

  • NPI: 1841232311
  • Provider Name: SOUTHEASTERN IMAGING CONSULTANTS OF CARY, LLC
  • Classification: Radiology - 2085B0100X
  • Specialization: Body Imaging
  • Entity Type: Organization
  • Address: 3700 NW CARY PKWY
    SUITE 120
    CARY, NC
    ZIP 27513
  • Phone: (919) 653-0380

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NPI Details

SOUTHEASTERN IMAGING CONSULTANTS OF CARY, LLC is a body imaging radiology in Cary, NC. The provider is a Radiology doctor of Osteopathy that specializes in Body Imaging. SOUTHEASTERN IMAGING CONSULTANTS OF CARY, LLC NPI is 1841232311. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3700 NW CARY PKWY
SUITE 120
CARY, NC
ZIP 27513-422
Phone: (919) 653-0380
Fax: (919) 653-0388

The provider's authorized official is Christine B Holder .
The authorized official title is President and has the following contact phone number (336) 852-3488.

The enumeration date for this NPI number is 6/11/2006 and was last updated on 8/22/2020.

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
12085B0100XRadiologyBody ImagingYes

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
1017NJOTHERNORTH CAROLINABLUE CROSS/BLUE SHIELD

What is NPI?

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

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