Organization
PRESBYTERIAN IMAGING CENTERS LLC
Active
Other names
Presbyterian Imaging Center Randolph
Organization subpart
No
Provider details
NPI number
Authorized official
FRED M HARGETT (EVP CFO)
(704) 384-5184
Entity
Organization
Contact information
Practice address
1918 RANDOLPH RD, CHARLOTTE, NC 28207-1100
(704) 316-4100
Mailing address
2085 FRONTIS PLAZA BLVD, WINSTON-SALEM, NC 27103-5614
(336) 277-7226
(336) 277-9795
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16-00298
UHC
—
01
—
P00187893
RAILROAD MEDICARE
—
Enumeration date
05/15/2006
Last updated
10/26/2010
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