PRESBYTERIAN IMAGING CENTERS LLC (NPI# 1790736411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790736411 |
| Entity Type | Organization |
| Organization Name | PRESBYTERIAN IMAGING CENTERS LLC |
| Other Organization Name | PRESBYTERIAN IMAGING CENTER RANDOLPH |
| Practice Address |
1918 Randolph Rd Charlotte NC 28207-1100 |
| Mailing Address |
2085 Frontis Plaza Blvd Winston-salem NC 27103-5614 |
| Practice Telephone | 7043164100 |
| Mailing Telephone | 3362777226 |
| Mailing Fax Number | 3362779795 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2010-10-26 |
| Authorized Official Name | FRED M HARGETT (EVP CFO) |
| Authorized Official Telephone | 7043845184 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UHC | 16-00298 | 01 | |
| RAILROAD MEDICARE | P00187893 | 01 |
| Other Name | Type Code |
|---|---|
| Presbyterian Imaging Center Randolph | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992284327 | Presbyterian Imaging Centers LLC | Radiology | 106 Langtree Village Dr # 201, Mooresville, NC 28117 | 2018-08-07 |
| 1407003510 | Presbyterian Imaging Centers LLC | Radiology | 2000 Wellness Boulevard, Ste 110, Monroe, NC 28110-7764 | 2008-08-20 |
| 1144477258 | Presbyterian Imaging Centers LLC | Radiology | 13557 Steelecroft Parkway, Suite 1100, Charlotte, NC 28278 | 2008-08-20 |
| 1194776765 | Presbyterian Imaging Centers LLC | Radiology | 14215 Ballantyne Corporate Place, Ste 140, Charlotte, NC 28277-3146 | 2006-05-16 |
| 1518918481 | Presbyterian Imaging Centers LLC | Radiology | 8401 Medical Plaza Dr, Ste 110, Charlotte, NC 28262-8797 | 2006-05-15 |
| 1821049461 | Presbyterian Imaging Centers LLC | Physiological Laboratory | 2900 Randolph Rd, Charlotte, NC 28211-1021 | 2006-05-15 |
| Street Address |
1918 RANDOLPH RD |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28207-1100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588660625 | Christopher John Danner | Specialist | 1918 Randolph Rd, Ste. 300, Charlotte, NC 28207-1100 | 2005-06-23 |
| 1942745807 | Novant Medical Group, Inc | Psychiatry & Neurology | 1918 Randolph Rd, Suite 400, Charlotte, NC 28207-1100 | 2017-01-03 |
| 1659727881 | Katherine Mcclure | Physician Assistant | 1918 Randolph Rd, Suite 400, Charlotte, NC 28207-1100 | 2016-05-06 |
| 1467810531 | Kristina Hendley Sapel | Physician Assistant | 1918 Randolph Rd, Suite 550, Charlotte, NC 28207-1100 | 2016-02-04 |
| 1376910877 | Elaine Mejia | Physician Assistant | 1918 Randolph Rd, Suite 220, Charlotte, NC 28207-1100 | 2015-09-01 |
| 1437552114 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1918 Randolph Rd, Suite 275-a, Charlotte, NC 28207-1100 | 2014-10-08 |
| 1245630854 | Mary Meredith Gillis | Psychologist | 1918 Randolph Rd, Suite 400, Charlotte, NC 28207-1100 | 2014-09-02 |
| 1093136939 | Amy Vischetti Moore | Physician Assistant | 1918 Randolph Rd, Ste. 580, Charlotte, NC 28207-1100 | 2013-12-19 |
| 1962831651 | Candice Halle Kessler | Nurse Practitioner | 1918 Randolph Rd, Suite 670, Charlotte, NC 28207-1100 | 2013-11-04 |
| 1184059958 | Alicja Erazo Sundblade | Registered Nurse | 1918 Randolph Rd, Suite 350, Charlotte, NC 28207-1100 | 2013-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013560739 | Louis Roncaglione | Dentist | 8815 Christenbury Pkway, Concord, NC 28207 | 2019-07-22 |
| 1619430014 | Khrystyna Levytska | Student in an Organized Health Care Education/Training Program | Myers Park Clinic Ob/gyn, 1350 S. Kings Dr., Charlotte, NC 28207 | 2019-04-11 |
| 1649743584 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 1005 South Kings Drive, Charlotte, NC 28207 | 2019-01-03 |
| 1023584489 | Herron and Smith Associates, Pllc | Dentist | 135 Perrin Place, Suite 100, Charlotte, NC 28207 | 2018-10-23 |
| 1588161640 | Lauren Mogk | Student in an Organized Health Care Education/Training Program | Myers Park Clinical Internal Medicine, 1350 S. Kings Dr., 3rd Floor, Charlotte, NC 28207 | 2018-04-06 |
| 1518462241 | Sarah Hollyn Carlock | Student in an Organized Health Care Education/Training Program | Myers Park Clinic Internal Medicine, 1350 S Kings Dr, 3rd Floor, Charlotte, NC 28207 | 2018-03-26 |
| 1083118178 | Claire Milam | Student in an Organized Health Care Education/Training Program | Cmc/department of Emergency Medicine, 100 Blythe Blvd, Charlotte, NC 28207 | 2018-03-22 |
| 1811422256 | Complete Care At Dartmouth LLC | Skilled Nursing Facility | 300 Province Road, Charlotte, NC 28207 | 2017-04-24 |
| 1063945467 | Kaitlyn O'keefe | Internal Medicine | 1350 S. Kings Dr., 3rd Floor, Myers Park Clinic Internal Medicine, Charlotte, NC 28207 | 2017-04-04 |
| 1811432024 | Advanced Prosthetics of Easley, Inc | Durable Medical Equipment & Medical Supplies | 2310 Randolph Rd Ste A, Charlotte, NC 28207 | 2016-12-23 |
| Find all providers in zip 28207 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881239093 | Southeast Radiology Associates Pllc | Clinic/Center | 10926 David Taylor Dr Ste 120, Charlotte, NC 28262-1042 | 2019-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306344577 | Union Medical Services, LLC | Clinic/Center | 103 Stanly Pkwy Ste E, Locust, NC 28097-7711 | 2018-01-23 |
| 1417298134 | Columbus Regional Diagnostics | Clinic/Center | 619 Jefferson St., Ste. 2, Whiteville, NC 28472-3707 | 2013-03-05 |
| 1043593395 | Waccamaw Ultrasound & Diagnostics | Clinic/Center | 112 E White Oak St, Lake Waccamaw, NC 28450-2128 | 2011-09-22 |
| 1912192006 | Advanced Imaging, Inc. | Clinic/Center | 406 Thompson St, Eden, NC 27288-5044 | 2007-09-11 |
| 1124123104 | Sonography Services Inc | Clinic/Center | 125 Wamsutta Mill Rd, Suite B, Morganton, NC 28655-5522 | 2006-09-14 |
| 1164527149 | Sonocare, LLC | Clinic/Center | 125 B Wamsutta Mill Rd., Morganton, NC 28655 | 2006-09-14 |
| 1447290010 | Coastal Carolina Health Care Pa | Clinic/Center | 1030 Medical Park Ave, New Bern, NC 28562-5248 | 2006-06-08 |
| 1588611677 | Sunset Imaging, LLC | Clinic/Center | 850 Sunset Blvd N, Sunset Beach, NC 28468-4262 | 2006-05-27 |
| 1740231984 | Foundation Health Systems Corp | Clinic/Center | 1701 S Hawthorne Rd, Winston-salem, NC 27103-4015 | 2006-05-12 |
| 1669834131 | Chatham Imaging Services of Pittsboro, LLC | Clinic/Center | 75 Freedom Parkway, Pittsboro, NC 27312 | 2016-03-24 |
| 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.