Organization
CAPE FEAR DIAGNOSTIC IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL J SCHAEFER (COO)
(770) 300-0101
Entity
Organization
Contact information
Practice address
1602 PHYSICIANS DR, SUITE 101, WILMINGTON, NC 28401-7350
(910) 362-9881
(910) 362-9884
Mailing address
PO BOX 933393, ATLANTA, GA 31193-0001
(866) 659-1211
(336) 774-1751
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011VW
BCBS NC
NC
01
—
166659600
DOL
NC
01
—
470000926
MEDICARE RR
—
05
—
89011VW
—
NC
Enumeration date
05/04/2006
Last updated
05/29/2008
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