Coastal Diagnostic Imaging
LBN: Jacksonville Diagnostic Imaging Llc
Coastal Diagnostic Imaging is an health care organization with primary practice located at 3606 Henderson Dr , Jacksonville NC 28546-5217. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty.
Jacksonville Diagnostic Imaging Llc can be contacted via phone (910) 937-7226, or through Gardner, Geoffrey K. via phone (336) 718-2078.
Contact Information
Primary practice address
3606 Henderson Dr
Jacksonville NC 28546-5217
Phone: (910) 937-7226
Fax: (910) 937-0064
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | North Carolina |
Profile Details
| NPI number | 1104874387 |
|---|---|
| LBN Legal business name | Jacksonville Diagnostic Imaging Llc |
| DBA Doing business as | Coastal Diagnostic Imaging |
| Authorized official | Gardner, Geoffrey K. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Mar 19th, 2024 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104874387 | NPPES |
| North Carolina | MEDICAID | 89014UN | |
| North Carolina | Other | 014UN | |
| North Carolina | Other | 101136600 | |
| North Carolina | Other | P00107621 |
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