NORTH CAROLINA DIGITAL IMAGING, INC (NPI# 1558494815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558494815 |
| Entity Type | Organization |
| Organization Name | NORTH CAROLINA DIGITAL IMAGING, INC |
| Other Organization Name | NCDI |
| Practice Address |
2554 Lewisville - Clemmons Road Suite 201, Box 11 Clemmons NC 27102-8110 |
| Practice Telephone | 8009839840 |
| Practice Fax Number | 8009839841 |
| Mailing Telephone | 8009839840 |
| Mailing Fax Number | 8009839841 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2009-09-25 |
| Authorized Official Name | MR. PAUL D SMITH JR. (PRESIDENT - CEO) |
| Authorized Official Telephone | 8009839840 |
| Authorized Official Credential | CEO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | NC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3409804 | 05 |
| Other Name | Type Code |
|---|---|
| NCDI | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780637751 | North Carolina Digital Imaging, Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1317 Ashleybrook Ln, Winston Salem, NC 27103-2918 | 2006-05-18 |
| Street Address |
2554 LEWISVILLE - CLEMMONS ROAD SUITE 201, BOX 11 |
| City | CLEMMONS |
| State | NC |
| Zip Code | 27102-8110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811246994 | Rita Nickens-silva | Counselor | 1014 Hawk Ridge Circle, Winston-salem, NC 27102 | 2012-09-05 |
| 1902411697 | Brenita Howard | Behavior Technician | 5175 Old Clemmons School Road, Winston Salem, NC 27102 | 2020-09-10 |
| 1497368419 | Jazmen Makala Batchelor | Behavior Technician | 5175 Old Clemmons School Rd, Winston-salem, NC 27102 | 2020-08-28 |
| 1063020964 | Adam Thibeault | Behavior Technician | 5175 Old Clemmons School Road, Winston Salem, NC 27102 | 2020-07-16 |
| 1528685443 | Garcia Jacobs Harris | Behavior Technician | 5175 Old Clemmons School Road, Winston Salem, NC 27102 | 2020-06-26 |
| 1437775632 | Iman Saadat | Behavior Technician | 5175 Old Clemmons School Road, Winston Salem, NC 27102 | 2020-06-23 |
| 1598381121 | Kelly Young | Behavior Technician | 5175 Old Clemmons School Road, Winston Salem, NC 27102 | 2020-06-19 |
| 1588280119 | Turquoise Muir | Behavior Technician | 5175 Old Clemmons School Road, Winston Salem, NC 27102 | 2020-06-19 |
| 1538784095 | Sara Holka | Behavior Technician | 5175 Old Clemmons School Road, Winston Salem, NC 27102 | 2020-06-10 |
| 1619591849 | Rachel Clark | Behavior Technician | 5175 Old Clemmons School Road, Winston Salem, NC 27102 | 2020-06-03 |
| Find all providers in zip 27102 | ||||
| Taxonomy Code | 335V00000X |
| Grouping | Suppliers |
| Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922131200 | North Carolina Mobile Ultrasound | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2554 Lewisville-clemmons Road, Suite 201, Box 11, Clemmons, NC 27012-8110 | 2007-03-14 |
| 1619083516 | United Mobile Imaging Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2554 Lewisville Clemmons Rd, Suite 201 Box 11, Clemmons, NC 27012-8110 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821616046 | A4l (us), Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 401 Harrison Oaks Blvd Ste 100, Cary, NC 27513-2412 | 2020-07-14 |
| 1013461250 | Usb Distributor Services, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 8544 Foxbridge Dr, Matthews, NC 28104-7885 | 2016-08-04 |
| 1700060456 | Mcgraw Mobile Xray, Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 726 Ramsey St Ste 10, Fayetteville, NC 28301-4705 | 2007-12-18 |
| 1336299338 | National Mobile X-ray LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 251 Dominion Drive 112, Morrisville, NC 27560 | 2007-01-11 |
| 1366517146 | Mmds of Kingsport, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 88a Little Knob Rd, Asheville, NC 28803-9646 | 2006-11-21 |
| 1407950199 | Mobile Visions Ins | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 7820 N Point Blvd, Suite 101, Winston Salem, NC 27106-3299 | 2006-09-12 |
| 1780637751 | North Carolina Digital Imaging, Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1317 Ashleybrook Ln, Winston Salem, NC 27103-2918 | 2006-05-18 |
| 1245228162 | Carol Lloyd, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 30 Rosscraggon Rd, Suite Aa, Asheville, NC 28803-2102 | 2005-10-13 |
| 1558354431 | Bsr19,inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1589 Brookside Camp Rd, Hendersonville, NC 28792-8557 | 2005-08-25 |
| 1952956195 | Pdi Health Nc LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6047 Tyvola Glen Cir, Charlotte, NC 28217-6431 | 2019-08-05 |
| Find all providers with the same taxonomy | ||||
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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.