NPI 1245474022

Medical Imaging Center, LLC

Organisation Physiological Laboratory Fayetteville, NC

Practice location

Address: 3186 Village Dr Suite 101, Fayetteville, NC 28304-3978
Phone: (910) 323-2209
Fax: (910) 323-9680

Authorised official

Name: Brandi Henry
Title: Executive Directory
Phone: (910) 322-5729

Registered specialties

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X Licence LM0075 (NC)

Other Physiological Laboratory providers in North Carolina →

Registry record

NPI: 1245474022
Entity type: Organization
NPI issued: 24 Apr 2009
Record last updated: 13 Oct 2022

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.