# WEST STANLY IMAGING LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Atrium Health Imaging Locust
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124294194
- **Authorized official:** BRIAN FREEMAN (PRESIDENT)
- **Authorized official phone:** (704) 984-4393

## Contact information

- **Practice address:** 103 STANLY PKWY, SUITE E, LOCUST, NC 28097-7704
- **Practice address phone:** (704) 781-0003
- **Mailing address:** PO BOX 686, ALBEMARLE, NC 28002-0686

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | — | NULL | Yes |
| 293D00000X | Physiological Laboratory | — | NULL | — |

## Other

- **Enumeration date:** 04/30/2008
- **Last updated:** 09/15/2021