Organization
DOMINION RADIOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEEGAN SCANLON (VICE PRESIDENT)
(424) 354-8724
Entity
Organization
Contact information
Practice address
1331 N ELM ST STE 200, GREENSBORO, NC 27401-6304
(336) 274-9617
Mailing address
13333 NORTHWEST FWY STE 540, HOUSTON, TX 77040-6166
(561) 366-2002
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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