# GEODAX IMAGING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Morganton Diagnostics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043409600
- **Authorized official:** REGINALD R. SIPE (VP/CFO)
- **Authorized official phone:** (336) 274-2844

## Contact information

- **Practice address:** 505 E PARKER RD, MORGANTON, NC 28655-5104
- **Practice address phone:** (828) 437-5812
- **Practice address fax:** (828) 433-8317
- **Mailing address:** 3723 W MARKET ST STE B, GREENSBORO, NC 27403-1375
- **Mailing address phone:** (336) 274-2844
- **Mailing address fax:** (336) 274-2817

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/19/2007
- **Last updated:** 10/19/2007