Organization
MEDICAL IMAGING CENTER, LLC
Active
Other names
Valley Regional Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDI HENRY (EXECUTIVE DIRECTOR)
(910) 221-2500
Entity
Organization
Contact information
Practice address
588 BAILEY RD, LUMBERTON, NC 28358-2455
(910) 221-2500
Mailing address
3186 VILLAGE DR STE 101, FAYETTEVILLE, NC 28304-3979
(910) 221-2500
(910) 323-9680
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5912303
—
NC
Enumeration date
08/03/2017
Last updated
08/03/2017
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