MECKLENBURG DIAGNOSTIC IMAGING LLC (NPI# 1215080536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215080536 |
| Entity Type | Organization |
| Organization Name | MECKLENBURG DIAGNOSTIC IMAGING LLC |
| Other Organization Name | NOVANT HEALTH IMAGING MOORESVILLE |
| Practice Address |
118 Gateway Blvd Ste E Mooresville NC 28117-6542 |
| Mailing Address |
Po Box 603543 Charlotte NC 28260-3543 |
| Practice Telephone | 7046628580 |
| Practice Fax Number | 7046628846 |
| Mailing Telephone | 6783935600 |
| Mailing Fax Number | 7703009018 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2017-07-10 |
| Authorized Official Name | MR. DANIEL J SCHAEFER (COO) |
| Authorized Official Telephone | 7703000101 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS | 020FX | 01 |
| NC | DOL | 153718703 | 01 |
| UHC | 1897409 | 01 | |
| NC | 5906448 | 05 | |
| NC | AETNA | 7456027 | 01 |
| NC | MEDICARE RAILROAD | P00315955 | 01 |
| Other Name | Type Code |
|---|---|
| Novant Health Imaging Mooresville | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770636268 | Mecklenburg Diagnostic Imaging LLC | Radiology | 920 Cox Rd, Bldg C Ste 101, Gastonia, NC 28054-3456 | 2007-01-19 |
| 1265480446 | Mecklenburg Diagnostic Imaging LLC | Radiology | 3723 Union Rd, Gastonia, NC 28056-8044 | 2006-05-04 |
| 1962450155 | Mecklenburg Diagnostic Imaging LLC | Radiology | 1309 E Sunset Dr, Monroe, NC 28112-4324 | 2006-05-04 |
| 1093773384 | Mecklenburg Diagnostic Imaging LLC | Radiology | 6324 Fairview Rd, Suite 120 A, Charlotte, NC 28210-3200 | 2006-05-03 |
| Street Address |
118 GATEWAY BLVD STE E |
| City | MOORESVILLE |
| State | NC |
| Zip Code | 28117-6542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891356648 | Teleoptometric Service, P.C. | Optometrist | 392 Talbert Rd, Mooresville, NC 28117 | 2019-06-24 |
| 1992268544 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 392 Talbert Rd., Mooresville, NC 28117 | 2019-04-10 |
| 1982178042 | Langtree Endoscopy Center, LLC | Clinic/Center | 106 Alexander Bank Drive, Suite 101, Mooresville, NC 28117 | 2019-01-11 |
| 1679044416 | May and Associates Therapy Center | Psychologist | 862 Brawley School Road, Suite 202, Mooresville, NC 28117 | 2018-12-05 |
| 1700360153 | Sabrina Chabot Hutchinson | Physical Therapist | 508 Williamson Rd, Suite 200, Mooresville, NC 28117 | 2018-09-21 |
| 1992284327 | Presbyterian Imaging Centers LLC | Radiology | 106 Langtree Village Dr # 201, Mooresville, NC 28117 | 2018-08-07 |
| 1073091310 | Jenelle Donzelli Nemeth | Registered Nurse | 102 Sapphire Drive, Mooresville, NC 28117 | 2018-07-30 |
| 1912497496 | Patsharx LLC | Pharmacy | 480 River Hwy, Suite A, Mooresville, NC 28117 | 2018-05-10 |
| 1427502434 | Counseling Service At Lake Norman, Pllc | Community/Behavioral Health | 18117 W. Catawba Avenue, Cornelius, NC 28117 | 2016-08-08 |
| 1447605928 | Renewal Counseling, Pllc | Counselor | 125 Commerce Park Rd., Suite 102, Mooresville, NC 28117 | 2016-05-03 |
| Find all providers in zip 28117 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992284327 | Presbyterian Imaging Centers LLC | Radiology | 106 Langtree Village Dr # 201, Mooresville, NC 28117 | 2018-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700490232 | Wake Forest Baptist Imaging, LLC | Radiology | 861 Old Winston Rd Ste 105, Kernersville, NC 27284-7141 | 2020-09-02 |
| 1770195166 | Sonocare, LLC | Radiology | 2579 Chimney Rock Rd Fl 2, Hendersonville, NC 28792-9181 | 2020-08-18 |
| 1700497492 | Raleigh Radiology Imaging Network, LLC | Radiology | 505 Oberlin Rd Ste 110, Raleigh, NC 27605-1345 | 2020-08-14 |
| 1144831611 | Raleigh Radiology Enterprises, LLC | Radiology | 101 Lattner Ct Ste 101, Morrisville, NC 27560-9584 | 2020-08-10 |
| 1245859453 | Triad Breast Imaging Center, LLC | Radiology | 3515 W Market St Ste 320, Greensboro, NC 27403-4438 | 2020-04-09 |
| 1265065098 | Dylan Moore | Radiology | 69 Beechwood Rd, Asheville, NC 28805-2329 | 2020-02-20 |
| 1346898632 | Mohamed Khalif Osman Warfa | Radiology | Diagnostic Radiology, Wake Forest School of Medicine, 1 Medical Boulevard, Winston-salem, NC 27157-0001 | 2019-08-29 |
| 1568023190 | Bay Imaging Consultants Medical Group Inc | Radiology | 1226 Brickfield Dr., Cary, NC 27519 | 2019-06-25 |
| 1942781455 | Mcpc-19, LLC | Radiology | 2919 Beechtree Dr Ste 1200, Sanford, NC 27330-6934 | 2018-08-23 |
| 1235619321 | Sonocare, LLC | Radiology | 611 Mocksville Ave Ste 203, Salisbury, NC 28144-2738 | 2018-08-17 |
| Find all providers with the same taxonomy | ||||
| City | MOORESVILLE |
| Zip Code | 28117 |
Please comment or provide details below to improve the information on MECKLENBURG DIAGNOSTIC IMAGING LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.