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Organization

ASHEVILLE IMAGING LLP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN A BRAZIL (CHIEF ADMINISTRATIVE OFFICER)
(828) 213-0799
Entity
Organization

Contact information

Practice address
534 BILTMORE AVE, ASHEVILLE, NC 28801-4612
(828) 213-0801
Mailing address
PO BOX 2146, INDIANAPOLIS, IN 46206-2146
(877) 685-2164
(317) 705-5060

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
2085N0904X
Nuclear Radiology Physician
2085P0229X
Pediatric Radiology Physician
2085R0202X
Diagnostic Radiology Physician
Primary
2085U0001X
Diagnostic Ultrasound Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0223G
BLUE CROSS BLUE SHIELD NC
NC
05
890223G
NC
Enumeration date
05/17/2006
Last updated
09/03/2013
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