Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Multi-Specialty |
261QM1300X | 70 | Clinic or Group Practice | |
Adolescent Medicine |
2080A0000X | 37 | Physician/Pediatric Medicine | |
Family Medicine |
207Q00000X | 08 | Physician/Family Practice | |
Internal Medicine |
207R00000X | 11 | Physician/Internal Medicine | |
Magnetic Resonance Imaging (MRI) |
261QM1200X | |||
Podiatrist |
213E00000X | 48 | Podiatry | |
Radiology |
261QR0200X | 74 | Radiation Therapy Center | |
Sports Medicine |
213ES0000X | 48 | Podiatry |
| NPI Number | 1467006338 |
| LBN Legal business name | CARROLL AVE IMAGING LLC |
| Authorized official | JAMES MCCARTY - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 07/30/2019 |
| Last updated | 05/14/2025 - More than a year ago |
| Identifiers | n/a |
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