VALLEY RADIOLOGY AT ANGIER LLC; NPI #1689854812

Contact Information

VALLEY RADIOLOGY AT ANGIER LLC

169 RAWLS RD.
ANGIER, NC 27501

Phone: 919-331-2001
Fax: 919-331-2003
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Diagnostic Radiology	2085R0202X	30	Physician/Diagnostic Radiology

Indicates primary specialty

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NPI Profile & details for VALLEY RADIOLOGY AT ANGIER LLC

NPI Number 1689854812

LBN Legal business name VALLEY RADIOLOGY AT ANGIER LLC

Authorized official MAX FAYKUS - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/05/2007

Last updated 07/21/2022 - About 4 years ago

Identifiers

NC	Medicaid	8901572
	Other	01572	BCBS
NC	Other	204310	MEDICARE
NC	Other	1630307	PHP
NC	Other	QPA797	SC MEDICAID

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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