Organization
DURHAM DIAGNOSTIC IMAGING LLC
Active
Other names
Central Medical Park
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL J SCHAEFER (COO)
(770) 300-0101
Entity
Organization
Contact information
Practice address
2609 N DUKE ST, SUITES 303 & 303A, DURHAM, NC 27704-3048
(919) 220-5109
(919) 321-1575
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
—
P00014222
MEDICARE RR
—
Enumeration date
05/04/2006
Last updated
12/17/2007
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