MECKLENBURG DIAGNOSTIC IMAGING LLC (NPI# 1265480446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265480446 |
| Entity Type | Organization |
| Organization Name | MECKLENBURG DIAGNOSTIC IMAGING LLC |
| Other Organization Name | NORTH CAROLINA DIAGNOSTIC IMAGING - GASTONIA |
| Practice Address |
3723 Union Rd Gastonia NC 28056-8044 |
| Mailing Address |
Po Box 933393 Atlanta GA 31193-0001 |
| Practice Telephone | 7048543933 |
| Practice Fax Number | 7048543995 |
| Mailing Telephone | 8666591211 |
| Mailing Fax Number | 3367741751 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2013-04-15 |
| 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 | DOL | 153718701 | 01 |
| NC | BCBS NC | 017M7 | 01 |
| SC | SL0082 | 05 | |
| NC | 5902729 | 05 | |
| MEDICARE RR | P00315955 | 01 |
| Other Name | Type Code |
|---|---|
| North Carolina Diagnostic Imaging - Gastonia | 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 |
| 1215080536 | Mecklenburg Diagnostic Imaging LLC | Radiology | 118 Gateway Blvd Ste E, Mooresville, NC 28117-6542 | 2007-01-19 |
| 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 |
3723 UNION RD |
| City | GASTONIA |
| State | NC |
| Zip Code | 28056-8044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164983276 | Emily Victoria Woods | Behavior Technician | 973 Plantation Trail, Gastonia, NC 28056 | 2019-03-29 |
| 1851888333 | Tapas Patel | Dentist | 4008 E Franklin Blvd Ste 100, Gastonia, NC 28056 | 2018-04-19 |
| 1952814303 | Humana Pharmacy Inc | Pharmacy | 2910-1 E. Franklin Blvd, Gastonia, NC 28056 | 2017-11-08 |
| 1063958429 | Rachel Zhisheng Toelkes | Specialist/Technologist | 457 Linsbury Ct., Gastonia, NC 28056 | 2017-01-10 |
| 1669846200 | Kathryn Carol O'neil | Physician Assistant | 3302 S New Hope Rd Ste 100b, Gastonia, NC 28056 | 2015-11-19 |
| 1447518618 | Shanta Janernita Lindsay | Nurse Anesthetist, Certified Registered | 1140 Safeway Dr, Gastonia, NC 28056 | 2012-04-25 |
| 1679883250 | Sabrina M Kuiken | Pharmacist | 2500 E. Franklin Blvd, Gastonia, NC 28056 | 2010-10-15 |
| 1528378429 | Katherine Carpenter Hovis | Pharmacist | 2601 South New Hope Rd, Gastonia, NC 28056 | 2010-10-14 |
| 1457584237 | Jonathan C. Allen Jr. | Dentist | 2924 East Franklin Blvd, Gastonia, NC 28056 | 2009-08-27 |
| 1558593822 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3658 South New Hope Rd, Gastonia, NC 28056 | 2009-08-19 |
| Find all providers in zip 28056 | ||||
| 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 |
|---|---|---|---|---|
| 1629202866 | Heidi Jon Hartman | Radiology | 620 Summit Crossing Pl Ste 106, Gastonia, NC 28054-2189 | 2009-05-02 |
| 1043429152 | Sean Patrick Whalen | Radiology | 5013 Newport Landing Way, Gastonia, NC 28056-8401 | 2007-05-22 |
| 1770636268 | Mecklenburg Diagnostic Imaging LLC | Radiology | 920 Cox Rd, Bldg C Ste 101, Gastonia, NC 28054-3456 | 2007-01-19 |
| 1457817603 | Gaston Memorial Hospital, Incorporated | Radiology | 620 Summit Crossing Pl Ste 106, Gastonia, NC 28054-2189 | 2019-02-13 |
| 1154854503 | Mri Specialists of The Carolinas, LLC | Radiology | 620 Summit Crossing Pl Ste 106, Gastonia, NC 28054-2189 | 2017-04-04 |
| 1932435609 | Gaston Radiology | Radiology | 620 Summit Crossing Pl Ste 106, Gastonia, NC 28054-2189 | 2009-10-30 |
| 1659540219 | Charles John Girard II | Radiology | 2525 Court Dr, Gastonia, NC 28054-2140 | 2008-02-27 |
| 1326249327 | Orion Imaging, LLC | Radiology | 900 Cox Rd, Gastonia, NC 28054-3460 | 2007-05-29 |
| 1821075508 | Richard Montgomery Jordan | Radiology | 620 Summit Crossing Pl, Suite 106, Gastonia, NC 28054-2176 | 2005-12-23 |
| 1306821814 | Robert William Miller | Radiology | 620 Summit Crossing Pl, Ste 106, Gastonia, NC 28054-2176 | 2005-12-08 |
| Find all providers in GASTONIA | ||||
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| 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.