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Contact Information

PRESBYTERIAN IMAGING CENTERS LLC
14215 BALLANTYNE CORPORATE PLACE
STE 140
CHARLOTTE, NC28277-3146
 Phone: 704-384-1890
 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

261QR0200X 74 Radiation Therapy Center
Indicates primary specialty

NPI Profile & details for PRESBYTERIAN IMAGING CENTERS LLC

NPI Number 1194776765
LBN Legal business name PRESBYTERIAN IMAGING CENTERS LLC
Authorized official GEOFFREY GARDNER - (CREDENTIALING)
Entity Organization
Organization subpart 1 No
Enumeration date 05/16/2006
Last updated 03/19/2024 - About 2 years ago
Identifiers
NC Medicaid 5917811
Other P00471056 RAILROAD MEDICARE
Other 1602272 UHC
NC Other 615320702 NC DOL
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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