# WAKE FOREST BAPTIST IMAGING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Atrium Health Wake Forest Baptist Imaging
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972763357
- **Authorized official:** AMY STOUT (PRESIDENT/CEO)
- **Authorized official phone:** (615) 261-2306

## Contact information

- **Practice address:** 265 EXECUTIVE PARK BLVD, WINSTON SALEM, NC 27103-1503
- **Practice address phone:** (336) 765-5722
- **Practice address fax:** (336) 765-5723
- **Mailing address:** 800 CRESCENT CENTRE DR STE 400, FRANKLIN, TN 37067-7270
- **Mailing address phone:** (615) 261-2306
- **Mailing address fax:** (855) 588-3545

## Taxonomy

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

## Other

- **Enumeration date:** 06/10/2008
- **Last updated:** 12/16/2025