Organization
TRIAD RADIOLOGY ASSOCIATES, PLLC
Active
Parent organization
TRIAD RADIOLOGY ASSOCIATES, PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRIAD RADIOLOGY ASSOCIATES, PLLC
Authorized official
DARLENE CLAGETT (DIRECTOR)
(336) 970-5318
Entity
Organization
Contact information
Practice address
3015 MAPLEWOOD AVE STE 200, WINSTON SALEM, NC 27103-4075
(336) 794-4188
Mailing address
3010 TRENWEST DR, WINSTON SALEM, NC 27103-3208
(336) 718-5844
(336) 970-5298
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
NC
Enumeration date
08/28/2006
Last updated
04/16/2018
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