# LUMBERTON RADIOLOGICAL ASSOCIATES, PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LUMBERTON RADIOLOGICAL ASSOCIATES, P.A.
- **Other names:** Wellness Imaging Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1841283751
- **Legal business name:** LUMBERTON RADIOLOGICAL ASSOCIATES, P.A.
- **Authorized official:** WILLIAM GROVER GODWIN (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (910) 738-8222

## Contact information

- **Practice address:** 209 WEST 27TH STREET, LUMBERTON, NC 28358-3016
- **Practice address phone:** (910) 738-8222
- **Practice address fax:** (910) 671-0846
- **Mailing address:** P.O. BOX 1527, LUMBERTON, NC 28359-1527
- **Mailing address phone:** (910) 738-8222
- **Mailing address fax:** (910) 671-0846

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | — | NC | — |
| 261QR0200X | Radiology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/25/2005
- **Last updated:** 07/20/2010