NPIMap

Organization Active NPI

West Stanly Imaging LLC

Doing business as Atrium Health Imaging Locust

  • Radiology Clinic/Center
  • Locust, NC
National Provider Identifier
1124294194
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
WEST STANLY IMAGING LLC
Doing business as
Atrium Health Imaging Locust
Practice address
103 Stanly Pkwy
Suite E
Locust, NC 28097-7704
Phone
(704) 781-0003
NPI assigned
Apr 30, 2008
Last updated
Sep 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Authorized official

Name
Brian Freeman
Title
President
Phone
(704) 984-4393

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary
Physiological Laboratory 293D00000X

Addresses

Primary practice location

103 Stanly Pkwy
Suite E
Locust, NC 28097-7704

Mailing address

PO Box 686
Albemarle, NC 28002-0686

Other names 1

  • Atrium Health Imaging Locust Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081217000355 NC Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 8820150329 Receives reassigned benefits from 2 practitioners
Practice locations: Locust, NC

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
Tax ID family
Atrium Health Imaging Locust2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 2

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

Practitioners & affiliated clinicians

Practitioners 4

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": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631664000000",
    "number": "1124294194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 686",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280020686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 STANLY PKWY",
            "address_2": "SUITE E",
            "city": "LOCUST",
            "state": "NC",
            "postal_code": "280977704",
            "telephone_number": "704-781-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST STANLY IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-30",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-984-4393"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atrium Health Imaging Locust",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Locust, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.