Organization Active NPI

National Imaging Affiliates of Fayetteville, Inc

Doing business as Diagnostic Health Fayetteville

  • Physiological Laboratory
  • Fayetteville, NC
National Provider Identifier
1073561478
Registry record updated Dec 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
NATIONAL IMAGING AFFILIATES OF FAYETTEVILLE, INC
Doing business as
Diagnostic Health Fayetteville
Practice address
3186 Village Dr
Fayetteville, NC 28304-3865
Phone
(910) 323-2209
Fax
(910) 323-2209
NPI assigned
May 5, 2006
Last updated
Dec 21, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2007

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

Authorized official

Name
Mrs. Sheri Miller
Title
Credentialing Manager
Phone
(205) 685-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

3186 Village Dr
Fayetteville, NC 28304-3865

Mailing address

2764 Pelham Pkwy
Pelham, AL 35124-1702
Phone (205) 685-5000

Other names 1

  • Diagnostic Health Fayetteville Doing business as

National Provider Directory

National Provider Directory

Locations

1767 Metromedical Dr
Fayetteville, NC 28304
Phone (910) 323-2209

3186 Village Dr
Fayetteville, NC 28304
Phone (910) 323-2209

3186 Village Dr
Ste 101
Fayetteville, NC 28304
Phone (910) 221-2500

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1073561478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2764 PELHAM PKWY",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351241702",
            "telephone_number": "205-685-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3186 VILLAGE DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043865",
            "telephone_number": "910-323-2209",
            "fax_number": "910-323-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL IMAGING AFFILIATES OF FAYETTEVILLE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "SHERI",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "205-685-5000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diagnostic Health Fayetteville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; 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.