Novant Health Breast Center

LBN: Presbyterian Breast Center Llc
Novant Health Breast Center is an health care organization with primary practice located at 315 Lillington Avenue , Charlotte NC 28204. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Ambulatory Health Care Facilities / Radiology, Mammography, Laboratories / Physiological Laboratory. Allopathic & Osteopathic Physicians / Diagnostic Radiology is the primary health care specialty. Presbyterian Breast Center Llc can be contacted via phone (704) 384-5000, or through Gardner, Geoffrey via phone (336) 718-2078.

Contact Information

Primary practice address
315 Lillington Avenue Charlotte NC 28204
Phone: (704) 384-5000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gardner, Geoffrey
Phone: (336) 718-2078

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X
Ambulatory Health Care Facilities / Radiology, Mammography 261QR0206X
Laboratories / Physiological Laboratory 293D00000X North Carolina

Profile Details

NPI number 1326099201
LBN Legal business name Presbyterian Breast Center Llc
DBA Doing business as Novant Health Breast Center
Authorized official Gardner, Geoffrey
Entity Organization
Organization subpart 1 No
Enumeration date May 15th, 2006
Last updated Mar 20th, 2024 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326099201 NPPES
North Carolina Other 615320500 NC DOL
North Carolina MEDICAID 89016K8 NC DOL
North Carolina Other 16-42372 NC DOL

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