Organization
DIAGNOSTIC RADIOLOGY & IMAGING LLC
Active
Other names
Greensboro Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
KELLI ANNETTE COLLINS (COO)
(336) 433-5010
Entity
Organization
Contact information
Practice address
315 W WENDOVER AVE, GREENSBORO, NC 27408-8401
(336) 433-5000
(336) 433-5111
Mailing address
1150 REVOLUTION MILL DR STE 9, GREENSBORO, NC 27405-5086
(336) 280-4003
(336) 303-1696
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0233A
BCBS OF NC
NC
01
—
1601436
UNITED HEALTHCARE
NC
05
—
790233A
—
NC
01
—
CN4018
RAILROAD MEDICARE
NC
Enumeration date
06/28/2006
Last updated
10/31/2025
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