Organization
DURHAM DIAGNOSTIC IMAGING LLC
Active
Other names
North Carolina Diagnostic Imaging-Cary
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL J SCHAEFER (COO)
(770) 300-0101
Entity
Organization
Contact information
Practice address
3700 NW CARY PKWY, SUITE 120, CARY, NC 27513-8446
(919) 461-2361
(919) 461-8402
Mailing address
PO BOX 933393, ATLANTA, GA 31193-0001
(336) 659-1211
(336) 774-1751
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020YH
BCBS
NC
05
—
5950731
—
NC
01
—
9871276
AETNA
NC
Enumeration date
12/17/2008
Last updated
08/25/2012
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