Organization
SUNSET IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEMIR EROL BASTUG M.D. (MEMBER/MANAGER)
(910) 575-6552
Entity
Organization
Contact information
Practice address
850 SUNSET BLVD N, SUNSET BEACH, NC 28468-4262
(910) 575-6552
(910) 575-6690
Mailing address
PO BOX 7717, OCEAN ISLE BEACH, NC 28469-1717
(910) 575-6552
(910) 575-6690
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017M3
BCBS
NC
01
—
2881826A
MEDICARE SECOND SITE
—
05
—
5902630
—
NC
Enumeration date
05/27/2006
Last updated
11/07/2007
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