Organization
MEDICAL IMAGING CENTER, LLC
Active
Other names
Valley Regional Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDI HENRY (EXECUTIVE DIRECTORY)
(910) 322-5729
Entity
Organization
Contact information
Practice address
3186 VILLAGE DR, SUITE 101, FAYETTEVILLE, NC 28304-3978
(910) 323-2209
(910) 323-9680
Mailing address
3186 VILLAGE DR, SUITE 101, FAYETTEVILLE, NC 28304-3978
(910) 323-2209
(910) 323-9680
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
LM0075
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5912303
—
NC
Enumeration date
04/24/2009
Last updated
10/13/2022
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