Whalio Doctors

NPI 1467068833

Southern Pines Diagnostic Imaging, LLC

Organisation Physiological Laboratory Southern Pines, NC

Practice location

Address
355 S Bennett St, Southern Pines, NC 28387-5403
Phone
(910) 692-7449
Fax
(910) 692-7581

Authorised official

Name
Mickey Foster
Title
Ceo
Phone
(910) 715-4473

Registered specialties (2)

Physiological Laboratory Primary
Laboratories Taxonomy 293D00000X
Diagnostic Radiology Physician
Allopathic & Osteopathic Physicians Taxonomy 2085R0202X

Registry record

NPI
1467068833
Entity type
Organization
NPI issued
21 Sep 2020
Record last updated
31 Dec 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.