# GEODAX IMAGING, LLC

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

## Provider details

- **NPI number:** 1821028986
- **Authorized official:** REGINALD R. SIPE (VP/CFO)
- **Authorized official phone:** (336) 274-2844

## Contact information

- **Practice address:** 301 BATTLEGROUND AVE, GREENSBORO, NC 27401-2101
- **Practice address phone:** (336) 274-2844
- **Practice address fax:** (336) 274-2817
- **Mailing address:** 301 BATTLEGROUND AVE, GREENSBORO, NC 27401-2101
- **Mailing address phone:** (336) 274-2844
- **Mailing address fax:** (336) 274-2817

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2471N0900X | Nuclear Medicine Technology Radiologic Technologist | — | NULL | Yes |
| 2471N0900X | Nuclear Medicine Technology Radiologic Technologist | — | — | Yes |

## Other

- **Enumeration date:** 07/04/2006
- **Last updated:** 08/22/2020