National Provider Identifier Database

PRESBYTERIAN IMAGING CENTERS LLC
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


Contact Information

PRESBYTERIAN IMAGING CENTERS LLC
14215 BALLANTYNE CORPORATE PLACE
STE 140
CHARLOTTE, NC28277-3146
Phone: 704-384-1890
Fax:
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X
Physiological Laboratory, (Independent Physiological Lab) 293D00000X
Radiology 261QR0200X

* Indicates primary specialty

NPI Profile & details for PRESBYTERIAN IMAGING CENTERS LLC

NPI Number 1194776765
Legal business name
LBN
PRESBYTERIAN IMAGING CENTERS LLC
Authorized official GEOFFREY GARDNER - (CREDENTIALING)
Entity Organization
Organization subpart No
Enumeration date 05/16/2006
Last updated 03/19/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers
  • NC Medicaid: 5917811
  • Other: P00471056 RAILROAD MEDICARE
  • Other: 1602272 UHC
  • NC Other: 615320702 NC DOL

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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