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Contact Information

REIDSVILLE IMAGING CENTER, LLC
2509 RICHARDSON DR
SUITE A
REIDSVILLE, NC27320-5901
 Phone: 336-349-5899
 Fax: 336-349-5995
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Body Imaging

2085B0100X
Indicates primary specialty

NPI Profile & details for REIDSVILLE IMAGING CENTER, LLC

NPI Number 1508807249
LBN Legal business name REIDSVILLE IMAGING CENTER, LLC
Authorized official RAYMOND EVELAND - (MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/10/2006
Last updated 01/16/2009 - About 17 years ago
Identifiers
NC Medicaid 5904292
NC Other 017YH BLUE CROSS/BLUE SHIELD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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