Organization Active NPI

Carolinas Imaging Services LLC

  • Physiological Laboratory
  • Denver, NC
National Provider Identifier
1093765851
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
CAROLINAS IMAGING SERVICES LLC
Practice address
409 Olin Way Ste 1100
Denver, NC 28037-9250
Phone
(704) 464-5704
NPI assigned
May 11, 2006
Last updated
Apr 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Authorized official

Name
Katrina Roelle
Title
Director of Credentialing
Phone
(614) 689-1691

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary
Specialist 174400000X

Addresses

Primary practice location

409 Olin Way Ste 1100
Denver, NC 28037-9250

Mailing address

700 E Morehead St Ste 300
Charlotte, NC 28202-2742
Phone (704) 362-5391

Other practice location 1

1401 Matthews Township Pkwy Ste 310B
Matthews, NC 28105-5403
Phone (704) 442-4390

Other practice location 2

16455 Statesville Rd
Suite 110
Huntersville, NC 28078-7135
Phone (704) 442-4390

Other practice location 3

6030 W Highway 74 Ste C
Indian Trail, NC 28079-3469
Phone (980) 993-7490

Other practice location 4

15110 John J Delaney Dr Ste 130A
Charlotte, NC 28277-3545
Phone (704) 442-4390

Other practice location 5

4525 Cameron Valley Pkwy Ste 1000B
Charlotte, NC 28211-4369
Phone (704) 442-4390

Other practice location 6

7756 Gateway Ln NW
Concord, NC 28027-4418
Phone (704) 403-7270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC7 enrollments

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
O20040415001155 NC Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 7113912502 Practice locations: Huntersville, NC
O20051028000568 NC Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 7113912502 Practice locations: Matthews, NC
O20071022000789 NC Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 7113912502 Practice locations: Charlotte, NC
O20080728000401 NC Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 7113912502 Practice locations: Charlotte, NC
O20230210000383 NC Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 7113912502 Practice locations: Denver, NC
O20260402000745 NC Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 7113912502 Practice locations: Indian Trail, NC
O20260520000681 NC Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 7113912502 Practice locations: Concord, NC

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D0999261Urology Specialsts of the Carolinas PLLC16455 Statesville Road Suite 420, Huntersville, NC 28078Provider-performed microscopyMay 7, 2028
34D1079318Carolinas Imaging Services, LLC - Southpark4525 Cameron Valley Pkwy Ste 1000 -B, Charlotte, NC 28211Certificate of waiverOct 18, 2026
34D1079321Carolinas Imaging Services-Ballantyne15110 John J Delaney Dr, Charlotte, NC 28277Certificate of waiverJan 29, 2028
34D1079322Carolinas Imaging Services, LLC - Huntersville16455 Statesville Rd Ste 110, Huntersville, NC 28078Certificate of waiverJan 29, 2028
34D1096338Carolinas Imaging Services-Matthews1401 Matthews Township Parkway, Matthews, NC 28105Certificate of waiverMar 2, 2027
34D2038756Carolinas Physicians Network, Inc4525 Cameron Valley Parkway, Suite 1600, Charlotte, NC 28211Certificate of waiverJun 11, 2027
34D2275181Carolinas Imaging Services Denver409 Olin Way, Suite 1100, Denver, NC 28037Certificate of waiverJan 17, 2027

National Provider Directory

National Provider Directory

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

15110 John J Delaney Dr
Ste 130
Charlotte, NC 28277
Phone (704) 697-5000

15110 John J Delaney Dr
Ste 130A
Charlotte, NC 28277
Phone (704) 442-4390

1701 East Blvd
Charlotte, NC 28203

4525 Cameron Valley Pkwy
Ste 1000
Charlotte, NC 28211

4525 Cameron Valley Pkwy
Ste 1000A
Charlotte, NC 28211
Phone (704) 367-2232

409 Olin Way
Ste 1000
Denver, NC 28037
Phone (704) 464-5704

16455 Statesville Rd
Ste 110A
Huntersville, NC 28078

6030 W Highway 74
Ste C
Indian Trail, NC 28079
Phone (704) 246-2999

1401 Matthews Township Pkwy
Ste 310A
Matthews, NC 28105
Phone (704) 367-2232

1401 Matthews Township Pkwy
Ste 310B
Matthews, NC 28105
Phone (704) 442-4390

1656 Riverchase Blvd
Ste 1600
Rock Hill, SC 29732
Phone (803) 327-9934

175 Amendment Ave
Ste 104
Rock Hill, SC 29732
Phone (704) 442-4390

Practitioners & affiliated clinicians

Practitioners 100

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.

View all 100

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775520000000",
    "number": "1093765851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E MOREHEAD ST STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282022742",
            "telephone_number": "704-362-5391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 OLIN WAY STE 1100",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280379250",
            "telephone_number": "704-464-5704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 Matthews Township Pkwy Ste 310B",
            "address_purpose": "LOCATION",
            "city": "Matthews",
            "state": "NC",
            "postal_code": "281055403",
            "country_code": "US",
            "telephone_number": "704-442-4390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16455 Statesville Rd",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Huntersville",
            "state": "NC",
            "postal_code": "280787135",
            "country_code": "US",
            "telephone_number": "704-442-4390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6030 W Highway 74 Ste C",
            "address_purpose": "LOCATION",
            "city": "Indian Trail",
            "state": "NC",
            "postal_code": "280793469",
            "country_code": "US",
            "telephone_number": "980-993-7490",
            "fax_number": "980-993-7491",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15110 John J Delaney Dr Ste 130A",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282773545",
            "country_code": "US",
            "telephone_number": "704-442-4390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4525 Cameron Valley Pkwy Ste 1000B",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282114369",
            "country_code": "US",
            "telephone_number": "704-442-4390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7756 Gateway Ln NW",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280274418",
            "country_code": "US",
            "telephone_number": "704-403-7270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAROLINAS IMAGING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A",
        "authorized_official_last_name": "ROELLE",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "614-689-1691"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.