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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

NPI # 1326099201
LBN Legal business name PRESBYTERIAN BREAST CENTER LLC
Authorized official GEOFFREY GARDNER - (SVP FINANCE AND REVENUE CYCLE)
Entity Organization
Organization subpart 1 No
Enumeration date 05/15/2006
Last updated 03/20/2024 - About 2 years ago
Identifiers
NC Medicaid 89016K8
Other 16-42372 UHC
NC Other 615320500 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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