Organization
DIAGNOSTIC RADIOLOGY & IMAGING, LLC
Active
Parent organization
DIAGNOSTIC RADIOLOGY & IMAGING, LLC
Other names
Greensboro Imaging at 3801 West Market Street
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIAGNOSTIC RADIOLOGY & IMAGING, LLC
Authorized official
CHRISTIAN S WILSON (AVP REGIONAL OPERATIONS)
(336) 540-4322
Entity
Organization
Contact information
Practice address
3801 W MARKET ST, GREENSBORO, NC 27407-1301
(336) 852-3300
(336) 852-0651
Mailing address
1331 NORTH ELM STREET, SUITE 200, GREENSBORO, NC 27401-6304
(336) 274-9617
(336) 482-2177
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022GU
BCBS
NC
05
—
5913690
—
NC
Enumeration date
11/17/2009
Last updated
04/30/2021
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