Organization
MEMORIAL HEALTH SYSTEMS INC.
Active
Other names
HCP Radiology Consultants
Organization subpart
No
Provider details
NPI number
Authorized official
CORY DOMAYER (CFO)
(386) 231-3909
Entity
Organization
Contact information
Practice address
301 MEMORIAL MEDICAL PKWY, DAYTONA BEACH, FL 32117-5167
(386) 231-5129
Mailing address
PO BOX 730729, ORMOND BEACH, FL 32173-0729
(386) 671-4500
(386) 672-9904
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
—
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
—
—
2085N0700X
Neuroradiology Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
—
2085P0229X
Pediatric Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005V
BCBS
FL
Enumeration date
08/05/2009
Last updated
03/03/2021
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