NPI 1003110677

Charlotte Radiology PA

Organisation Diagnostic Radiology Physician Charlotte, NC

Practice location

Address: 1025 Morehead Medical Dr STE 150, Charlotte, NC 28204-2973
Phone: (704) 362-5391
Mailing address: 700 E Morehead St STE 300, Charlotte, NC 28202-2742

Authorised official

Name: Jane T Lutz
Title: Manager Payer Privileging
Phone: (704) 362-5391

Registered specialties

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X

Other Radiology providers in North Carolina →

Registry record

NPI: 1003110677
Entity type: Organization
NPI issued: 22 Dec 2010
Record last updated: 17 Mar 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.