# STAT MOBILE IMAGING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114192952
- **Authorized official:** MR. KENNETH BRIAN SMITH R.T.(R) (RADIOLOGIC TECHNOLOGIST)
- **Authorized official phone:** (336) 399-6947

## Contact information

- **Practice address:** 1515 PRICE GRANGE RD, STONEVILLE, NC 27048-8294
- **Practice address phone:** (336) 399-6947
- **Mailing address:** 1515 PRICE GRANGE RD, STONEVILLE, NC 27048-8294
- **Mailing address phone:** (336) 573-3760

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0208X | Mobile Radiology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/23/2008
- **Last updated:** 04/23/2008