National Provider Identifier Database

MEDICAL IMAGING CENTER LLC
Physiological Laboratory, (Independent Physiological Lab)

A laboratory that operates independently of a hospital and physician?s office to furnish physiological diagnostic services (e.g. EEG?s , EKG?s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.


Contact Information

MEDICAL IMAGING CENTER, LLC
3186 VILLAGE DR
SUITE 101
FAYETTEVILLE, NC28304-3978
Phone: 910-323-2209
Fax: 910-323-9680
Website:
Specialty Taxonomy Code
* Physiological Laboratory, (Independent Physiological Lab) 293D00000X

* Indicates primary specialty

NPI Profile & details for MEDICAL IMAGING CENTER, LLC

NPI Number 1245474022
Legal business name
LBN
MEDICAL IMAGING CENTER, LLC
Authorized official BRANDI HENRY - (EXECUTIVE DIRECTORY)
Entity Organization
Organization subpart No
Enumeration date 04/24/2009
Last updated 10/13/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • NC License #: LM0075
  • NC Medicaid: 5912303

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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