Organization
DURHAM DIAGNOSTIC IMAGING LLC
Active
Other names
Independence Park
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEOFFREY K. GARDNER (SVP FINANCE AND REVENUE CYCLE)
(336) 718-2078
Entity
Organization
Contact information
Practice address
4323 BEN FRANKLIN BLVD, DURHAM, NC 27704-2177
(919) 471-4840
(919) 321-1575
Mailing address
PO BOX 933393, ATLANTA, GA 31193-0001
(866) 659-1211
(336) 774-1751
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0187Q
BCBS NC
NC
01
—
205314600
DOL
NC
05
—
89014E3
—
NC
01
—
P00014222
MEDICARE RR
—
Enumeration date
05/04/2006
Last updated
03/20/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us