Organization
DURHAM DIAGNOSTIC IMAGING LLC
Active
Other names
Durham Diagnostic Imaging-Henderson
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL J SCHAEFER (COO)
(770) 300-0101
Entity
Organization
Contact information
Practice address
857 S BECKFORD DR, SUITE E, HENDERSON, NC 27536-3486
(252) 430-6500
(919) 321-1575
Mailing address
PO BOX 933393, ATLANTA, GA 31193-0001
(336) 659-1211
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020FU
BCBS
NC
01
—
205314603
DOL
NC
01
—
2670302
UHC
—
05
—
5950088
—
NC
01
—
7378918
AETNA
—
01
—
P00014222
MEDICARE RR
—
Enumeration date
09/02/2006
Last updated
08/25/2012
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