Organization
COLUMBUS REGIONAL DIAGNOSTICS
Active
Parent organization
COLUMBUS REGIONAL DIAGNOSTICS
Other names
ADVANCED IMAGING, Columbus Regional Diagnostics
Organization subpart
Yes
Provider details
NPI number
Legal business name
COLUMBUS REGIONAL DIAGNOSTICS
Authorized official
KIMBERLY JEFFERY GORE (CHIEF FINANCIAL OFFICER)
(191) 064-0406
Entity
Organization
Contact information
Practice address
509 OLDE WATERFORDWAY, SUITE 104, LELAND, NC 28451
(910) 640-4380
(910) 399-4353
Mailing address
500 JEFFERSON ST, WHITEVILLE, NC 28472-3634
(910) 640-4060
(910) 642-9328
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
11/29/2021
Last updated
01/27/2023
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