Organization
GREENSBORO RADIOLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN VAUGHN (AUTHORIZED OFFICIAL)
(629) 317-1465
Entity
Organization
Contact information
Practice address
1200 N ELM ST, GREENSBORO, NC 27401-1004
(336) 832-7000
Mailing address
PO BOX 85378, CHICAGO, IL 60689-5378
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01675
BCBS OF NC
NC
01
—
1607519
UNITED HEALTHCARE
NC
05
—
8901675
—
NC
Enumeration date
05/31/2006
Last updated
03/26/2026
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