Organization
NORTH CAROLINA DIGITAL IMAGING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DURWARD A SMITH JR. (PRESIDENT)
(336) 245-2670
Entity
Organization
Contact information
Practice address
1317 ASHLEYBROOK LN, WINSTON SALEM, NC 27103-2918
(336) 245-2670
(336) 245-2017
Mailing address
1317 ASHLEYBROOK LN, WINSTON SALEM, NC 27103-2918
(336) 245-2670
(336) 245-2017
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016XF
BLUE CROSS AND BLUE SHIEL
NC
05
—
3409804
—
NC
01
—
805979
PARTNERS MEDICARE CHOICE
NC
01
—
P00193196
RAILROAD MEDICARE
NC
Enumeration date
05/18/2006
Last updated
08/22/2020
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