# PRESBYTERIAN IMAGING CENTERS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Presbyterian Imaging Center Museum
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821049461
- **Authorized official:** FRED M HARGETT (EVP CFO)
- **Authorized official phone:** (704) 384-5184

## Contact information

- **Practice address:** 2900 RANDOLPH RD, CHARLOTTE, NC 28211-1021
- **Practice address phone:** (704) 384-7180
- **Mailing address:** 2085 FRONTIS PLAZA BLVD, WINSTON-SALEM, NC 27103-5614
- **Mailing address phone:** (336) 277-7226
- **Mailing address fax:** (336) 277-9795

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0202X | Diagnostic Radiology Physician | — | NULL | — |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |
| 261QR0200X | Radiology Clinic/Center | — | NULL | Yes |
| 293D00000X | Physiological Laboratory | — | NC | — |

## Other

- **Enumeration date:** 05/15/2006
- **Last updated:** 10/14/2011
