Organization
JOHNSTON MRI LLC
Active
Parent organization
JOHNSTON MEMORIAL HOSPITAL AUTHORITY
Organization subpart
Yes
Provider details
NPI number
Legal business name
JOHNSTON MEMORIAL HOSPITAL AUTHORITY
Authorized official
JEFFREY A. WAKEFIELD (CONTROLLER)
(919) 938-7113
Entity
Organization
Contact information
Practice address
2138 NC HWY 42 W, CLAYTON, NC 27520-8343
(919) 585-8000
(919) 989-6584
Mailing address
509 N BRIGHTLEAF BLVD, SMITHFIELD, NC 27577-4407
(919) 938-7595
(919) 938-7069
Taxonomy
Speciality
Code
Description
License number
State
207RM1200X
Magnetic Resonance Imaging (MRI) Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/26/2009
Last updated
08/26/2009
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