MECKLENBURG DIAGNOSTIC IMAGING LLC (NPI# 1962450155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962450155 |
| Entity Type | Organization |
| Organization Name | MECKLENBURG DIAGNOSTIC IMAGING LLC |
| Other Organization Name | NORTH CAROLINA DIAGNOSTIC IMAGING - MONROE |
| Practice Address |
1309 E Sunset Dr Monroe NC 28112-4324 |
| Mailing Address |
Po Box 933393 Atlanta GA 31193-0001 |
| Practice Telephone | 7042258674 |
| Practice Fax Number | 7042257226 |
| Mailing Telephone | 8666591211 |
| Mailing Fax Number | 3367741751 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2009-04-01 |
| 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 |
|---|---|---|---|
| SC | NPB299 | 05 | |
| NC | BCBS NC | 017M8 | 01 |
| NC | DOL | 153718702 | 01 |
| NC | 5902728 | 05 | |
| SC | SL0074 | 05 | |
| MEDICARE RR | P00315955 | 01 |
| Other Name | Type Code |
|---|---|
| North Carolina Diagnostic Imaging - Monroe | 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 |
| 1265480446 | Mecklenburg Diagnostic Imaging LLC | Radiology | 3723 Union Rd, Gastonia, NC 28056-8044 | 2006-05-04 |
| 1093773384 | Mecklenburg Diagnostic Imaging LLC | Radiology | 6324 Fairview Rd, Suite 120 A, Charlotte, NC 28210-3200 | 2006-05-03 |
| Street Address |
1309 E SUNSET DR |
| City | MONROE |
| State | NC |
| Zip Code | 28112-4324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386050870 | Sandip Rajnibhai Patel | Chiropractor | 1309 E Sunset Dr, Monroe, NC 28112-4324 | 2014-07-07 |
| 1851692891 | Ddmr Pllc | Clinic/Center | 1309 E Sunset Dr, Monroe, NC 28112-4324 | 2010-11-08 |
| 1982921318 | Nicholas Daniel-grant Chappel | Chiropractor | 1309 E Sunset Dr, Monroe, NC 28112-4324 | 2010-04-25 |
| 1972673283 | Jason B Minsky | Chiropractor | 1309 E Sunset Dr, Monroe, NC 28112-4324 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376000620 | Paladina Health, LLC | Family Medicine | Paladina Health Monroe Campus Park, 1640 A Campus Park Drive, Monroe, NC 28112 | 2019-02-22 |
| 1073078408 | Sharelle Monique Hatley | Social Worker | 501 North Charlotte Ave, Suite C-214, Monroe, NC 28112 | 2019-02-11 |
| 1740762509 | Fox Counseling and Consulting, Pllc | Social Worker | 311 W Jefferson Street, Monroe, NC 28112 | 2018-08-29 |
| 1760976062 | Kinena J Dent-smith | Community/Behavioral Health | 207 Raymond St, Monroe, NC 28112 | 2018-06-20 |
| 1093225468 | Healthstat Onsite Clinic Parkdale Plant 21 | Preventive Medicine | 5005 Waxhaw Highway 75, Monroe, NC 28112 | 2017-10-11 |
| 1871026567 | H.o.p.e. Advancement, Inc. | Counselor | 349 Venus Street, Monroe, NC 28112 | 2017-04-10 |
| 1508304650 | Monroe Dental Clinic General Partnership | Dentist | 102 E Windsor Street, Monroe, NC 28112 | 2017-02-09 |
| 1073062865 | Garahetta Robin Sell | Massage Therapist | 600 West End Drive, Monroe, NC 28112 | 2016-09-22 |
| 1700280765 | Katherine Hartness | Massage Therapist | 205 N. Hayne St., Monroe, NC 28112 | 2014-10-20 |
| 1346655586 | Gaurav Chand | Internal Medicine | 1663 Campus Park Dr., Suite D, Monroe, NC 28112 | 2014-06-26 |
| Find all providers in zip 28112 | ||||
| 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 |
|---|---|---|---|---|
| 1194068460 | David Soroush Gorovoy | Radiology | 178 Pine Tree Rd, Monroe, NY 10950-3964 | 2013-04-04 |
| 1659529469 | Michael Barnidge Jr. | Radiology | 1888 Hudson Cir Ste 2, Monroe, LA 71201 | 2008-09-04 |
| 1407003510 | Presbyterian Imaging Centers LLC | Radiology | 2000 Wellness Boulevard, Ste 110, Monroe, NC 28110-7764 | 2008-08-20 |
| 1538376116 | Alan Herschman | Radiology | 4 Winnie Palmer Ct, Monroe, NJ 08831-8833 | 2007-05-16 |
| 1437242070 | Craig Shepherd Smith | Radiology | 718 N. Macomb, Monroe, MI 48161 | 2006-10-02 |
| 1043227887 | Lovick Pierce Thomas Vi | Radiology | 1601 Lamy Lane, Monroe, LA 71201 | 2006-08-02 |
| 1891721429 | Anne Dopson Halsell | Radiology | 1888 Hudson Cir, Ste 2, Monroe, LA 71201-3546 | 2006-06-24 |
| 1528094455 | Brenton Wayne Mcdonald | Radiology | 2807 Evangeline St, Monroe, LA 71201-3749 | 2006-06-23 |
| 1649216151 | Lin Xiong | Radiology | 1601 Lamy Ln, Monroe, LA 71201-3735 | 2006-06-22 |
| 1336148436 | Mary Carolyn Pomeroy | Radiology | 600 Hospital Dr, Union Regional Medical Center, Monroe, NC 28112-6000 | 2005-07-20 |
| Find all providers in MONROE | ||||
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.