Eastern Carolinas Imaging, LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

9700465 Issued in NC

Legal business name

EASTERN CAROLINAS IMAGING, LLC

Practice address

109 N JK Powell Blvd
Whiteville, NC 28472-3123

Phone

(910) 640-2823

Fax

(910) 640-3327

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Charlene Inette Berry

Title

Officer/Owner

Phone

(910) 640-7070

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073690467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1595",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284721595",
            "telephone_number": "910-640-2823",
            "fax_number": "910-640-3327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 N JK POWELL BLVD",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284723123",
            "telephone_number": "910-640-2823",
            "fax_number": "910-640-3327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN CAROLINAS IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_middle_name": "INETTE",
        "authorized_official_title_or_position": "OFFICER/OWNER",
        "authorized_official_telephone_number": "910-640-7070",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NC",
            "license": "9700465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890213J",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denae R Eason
• East Carolina Optometric Care, PA
• East Carolina Surgical, P.a.
• Alicia East, M.S. CCC-SLP
• Eastern Carolinas Imaging
• Eckerd Corporation
• Kaylan Elizabeth Edwards, M.D.
• Emmanuel Estranero Eugenio, M.D.
• Evergreen Actt, Inc.
• Evergreen Behavioral

• Radiology Clinic/Center in Whiteville, NC
• Providers in Whiteville, NC by specialty
• Radiology Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.