# SOUTHEAST RADIOLOGY ASSOCIATES PLLC

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

## Provider details

- **NPI number:** 1881239093
- **Authorized official:** JONATHAN LOZEVSKI MD (MBR)
- **Authorized official phone:** (704) 345-0789

## Contact information

- **Practice address:** 10926 DAVID TAYLOR DR STE 120, CHARLOTTE, NC 28262-1042
- **Practice address phone:** (704) 345-0789
- **Mailing address:** 10926 DAVID TAYLOR DR STE 120, CHARLOTTE, NC 28262-1042

## Taxonomy

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

## Other

- **Enumeration date:** 11/12/2019
- **Last updated:** 11/12/2019