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Contact Information

PRESBYTERIAN BREAST CENTER LLC
315 LILLINGTON AVENUE
CHARLOTTE, NC28204
 Phone: 704-384-5000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Physiological Laboratory, (Independent Physiological Lab)

293D00000X 47 Independent Diagnostic Testing Facility (IDTF)
 

Radiology, Mammography

261QR0206X
Indicates primary specialty

NPI Profile & details for PRESBYTERIAN BREAST CENTER LLC · (Female)

NPI # 1326099201
Status Active
Credentials
Entity Individual
Enumeration date 05/15/2006
Last updated 03/20/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers
  • NC Medicaid 89016K8
  • Other 16-42372 UHC
  • NC Other 615320500 NC DOL
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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