| NPI | 1093773384 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-05-03 |
| Last Updated | 2024-03-19 |
| Authorized Official | Geoffrey Gardner SVP Finance and Revenue Cycle Phone: 3367182078 |
| Mailing Address | Po Box 603543 Charlotte, NC 28260-3543 United States Phone: (678) 393-5600 | Fax: (770) 300-9018 📍 View Map |
| Primary Practice Address | 6324 Fairview Rd, Suite 120 A Charlotte, NC 28210-3200 United States Phone: (704) 362-8444 | Fax: (704) 362-3557 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | NC | 01514 | BCBS NC |
| Other (non-Medicare) | NC | 153718700 | DOL |
| MEDICAID | NC | 6901514 | — |
| Other (non-Medicare) | NC | ========= | TRICARE |
| MEDICAID | SC | NPB300 | — |
| Other (non-Medicare) | — | P00315955 | Medicare RR |
| MEDICAID | SC | SL0083 | — |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 2085R0202X – Radiology, Diagnostic Radiology | NC | — |
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About NPI 1093773384
Mecklenburg Diagnostic Imaging Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1093773384. The primary specialty listed is Radiology, Diagnostic Radiology. The organization is located in Charlotte, NC. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-05-03. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1093773384?
NPI 1093773384 belongs to Mecklenburg Diagnostic Imaging Llc, a Radiology, Diagnostic Radiology in Charlotte, NC. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1093773384 active?
The current status of NPI 1093773384 in the NPPES registry is Active. The record was last updated on 2024-03-19.
What specialty is NPI 1093773384?
NPI 1093773384 is classified under the taxonomy Radiology, Diagnostic Radiology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1093773384?
You can verify NPI 1093773384 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1093773384?
The primary practice address on file for NPI 1093773384 is 6324 Fairview Rd, Charlotte, NC 28210-3200. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1093773384 issued?
NPI 1093773384 was first issued (enumerated) on 2006-05-03. The NPPES record was last updated on 2024-03-19.
Practice Location Map
Mecklenburg Diagnostic Imaging Llc is located at 6324 Fairview Rd, Charlotte, NC. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Mecklenburg Diagnostic Imaging Llc. All records sourced from the CMS NPPES registry.