Organization
PIKE CREEK IMAGING ENTERPRISES LLC
Active
Organization
PIKE CREEK IMAGING ENTERPRISES LLC
Active
Parent organization
DIA PRACTICE ENTERPRISES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIA PRACTICE ENTERPRISES LLC
Authorized official
VICTORIA L PEACOCK MS, MS (PROJECT MANAGER)
(302) 993-2330
Entity
Organization
Contact information
Practice address
3105 LIMESTONE RD, SUITE 106, WILMINGTON, DE 19808-2147
(302) 995-2037
(302) 633-9311
Mailing address
1601 MILLTOWN RD, SUITE 13, WILMINGTON, DE 19808-4027
(302) 993-2330
(302) 993-2344
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000906902
—
DE
Enumeration date
04/27/2006
Last updated
12/20/2012
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