NPI 1093773384
Mecklenburg Diagnostic Imaging LLC
Practice location
- Address
- 6324 Fairview Rd Suite 120 a, Charlotte, NC 28210-3200
- Phone
- (704) 362-8444
- Fax
- (704) 362-3557
- Mailing address
- PO Box 603543, Charlotte, NC 28260-3543
Authorised official
- Name
- Geoffrey K. Gardner
- Title
- Svp Finance and Revenue Cycle
- Phone
- (336) 718-2078
Registered specialties
Diagnostic Radiology Physician
Primary
Registry record
- NPI
- 1093773384
- Entity type
- Organization
- NPI issued
- 3 May 2006
- Record last updated
- 19 Mar 2024
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.