# PROFESSIONAL ULTRASOUND & IMAGING

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

## Provider details

- **NPI number:** 1649398751
- **Authorized official:** MRS. CHRISTIAN HORTON LANE RTR, RCS (OWNER)
- **Authorized official phone:** (910) 620-9097

## Contact information

- **Practice address:** 136 MEMORY PLZ, WHITEVILLE, NC 28472-2640
- **Practice address phone:** (910) 914-6154
- **Practice address fax:** (910) 914-6156
- **Mailing address:** PO BOX 434, CHADBOURN, NC 28431-0434
- **Mailing address phone:** (910) 620-9097
- **Mailing address fax:** (910) 623-1343

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 247100000X | Radiologic Technologist | 112625 | NC | — |
| 293D00000X | Physiological Laboratory | 279513 | NC | Yes |

## Other

- **Enumeration date:** 03/27/2007
- **Last updated:** 05/15/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 8105016 | — | NC |