Southeastern Imaging Consultants, LLC

Primary specialty

Body Imaging PhysicianTaxonomy code 2085B0100X

Legal business name

SOUTHEASTERN IMAGING CONSULTANTS, LLC

Practice address

3100 Duraleigh Rd
Suite 101
Raleigh, NC 27612-8104

Phone

(919) 785-9091

Fax

(919) 785-9776

NPI assigned

Jun 11, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Raymond F Eveland

Title

Member

Phone

(336) 202-5593

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231804800000",
    "number": "1053353508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16573",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275166573",
            "telephone_number": "919-967-6646",
            "fax_number": "919-967-6647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 DURALEIGH RD",
            "address_2": "SUITE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276128104",
            "telephone_number": "919-785-9091",
            "fax_number": "919-785-9776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN IMAGING CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2009-01-13",
        "status": "A",
        "authorized_official_last_name": "EVELAND",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "336-202-5593"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Body Imaging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "015G6",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89015G6",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southeast Primary Care, PLLC
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• Southeastern Adult Day Center
• Southeastern Healthcare of North Carolina, Inc.
• Southeastern Orthopedics Sports Medicine & Shoulder Center PA
• Southeastern Residential Services of NC
• Southeastern Wake Adult Day Center
• Southeastern Wake Adult Day Center
• Southeastern Wake Adult Day Center

• Body Imaging Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Body Imaging Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.