Organization
DIAGNOSTIC RADIOLOGY & IMAGING, LLC
Active
Parent organization
DIAGNOSTIC RADIOLOGY & IMAGING, LLC
Other names
GREENSBORO IMAGING AT WMC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIAGNOSTIC RADIOLOGY & IMAGING, LLC
Authorized official
CHRISTIAN SCOTT WILSON (AVP REGIONAL OPERATIONS)
(336) 540-4322
Entity
Organization
Contact information
Practice address
301 E WENDOVER AVE, SUITE 100, GREENSBORO, NC 27401-1230
(336) 433-5000
(336) 433-5100
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
—
02634
BCBS OF NC
NC
01
—
1607518
UNITED HEALTHCARE
NC
05
—
7902634
—
NC
Enumeration date
07/14/2006
Last updated
04/30/2021
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