Organization
TRIAD RADIOLOGY ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORETTA WIMMER (MANAGER)
(336) 970-5318
Entity
Organization
Contact information
Practice address
3010 TRENWEST DR, WINSTON SALEM, NC 27103-3208
(336) 970-5304
(336) 659-2379
Mailing address
3010 TRENWEST DR, WINSTON SALEM, NC 27103-3208
(336) 970-5304
(336) 659-2379
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018V3
BCBS NC
NC
05
—
5904779
—
NC
05
—
5904781
—
NC
Enumeration date
08/19/2006
Last updated
03/25/2025
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