Novant Health Imaging Southpark

LBN: Mecklenburg Diagnostic Imaging Llc
Novant Health Imaging Southpark is an health care organization with primary practice located at 6324 Fairview Rd Suite 120 A, Charlotte NC 28210-3200. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Mecklenburg Diagnostic Imaging Llc can be contacted via phone (704) 362-8444, or through Gardner, Geoffrey K. via phone (336) 718-2078.

Contact Information

Primary practice address
6324 Fairview Rd Suite 120 A Charlotte NC 28210-3200
Fax: (704) 362-3557
Website:
Authorized official contact:
Name: Gardner, Geoffrey K.

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X North Carolina

Profile Details

NPI number 1093773384
LBN Legal business name Mecklenburg Diagnostic Imaging Llc
DBA Doing business as Novant Health Imaging Southpark
Authorized official Gardner, Geoffrey K.
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2006
Last updated Mar 19th, 2024 - about 9 months 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1093773384 NPPES
South Carolina MEDICAID SL0083
South Carolina Other 01514
South Carolina MEDICAID NPB300
South Carolina Other 153718700
South Carolina Other P00315955
South Carolina MEDICAID 6901514

Popular Providers