RALEIGH RADIOLOGY LLC NPI 1952527343

NPI Information

NPI: 1952527343
Provider Name: RALEIGH RADIOLOGY, LLC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

CLIA Number: 34D2300055

Address:
3200 BLUE RIDGE RD
SUITE 100
RALEIGH, NC
ZIP 27612
Phone: (919) 781-1437
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RALEIGH RADIOLOGY, LLC is a diagnostic radiology radiology in Raleigh, NC. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. RALEIGH RADIOLOGY, LLC NPI is 1952527343. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3200 BLUE RIDGE RD
SUITE 100
RALEIGH, NC
ZIP 27612-086
Phone: (919) 781-1437
Fax: (919) 787-4870

The provider's authorized official is Satish Mathan .
The authorized official title is President and has the following contact phone number (919) 781-1437.

The CLIA number assigned to this NPI record is 34D2300055 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/17/2007 and was last updated on 3/3/2020.

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
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	8902383	MEDICAID	NORTH CAROLINA

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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