Organization
CATAWBA RADIOLOGICAL ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEAN P DOUCETTE (BUSINESS MANAGER)
(828) 322-2644
Entity
Organization
Contact information
Practice address
18 13TH AVE NE, HICKORY, NC 28601-3748
(828) 322-2644
(828) 327-2235
Mailing address
PO BOX 308, HICKORY, NC 28603-0308
(828) 322-2644
(828) 327-2235
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
—
2085N0700X
Neuroradiology Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
—
2085P0229X
Pediatric Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0203X
Therapeutic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085R0205X
Radiological Physics Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01165
BCBS OF NC
NC
05
—
8901165
—
NC
01
—
CB9676
RAILROAD MEDICARE
NC
Enumeration date
08/31/2006
Last updated
02/29/2012
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