Active NPI
Raleigh Radiology Enterprises, LLC
- Diagnostic Radiology Physician
- Morrisville, NC
National Provider Identifier
1144831611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- RALEIGH RADIOLOGY ENTERPRISES, LLC
- Practice address
- 101 Lattner CT Ste 101
Morrisville, NC 27560-9584 - Phone
- (919) 781-1437
- NPI assigned
- Aug 10, 2020
- Last updated
- Aug 10, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Satish Mathan, MD
- Title
- Managing Partner
- Phone
- (919) 781-1437
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
101 Lattner CT Ste 101
Morrisville, NC 27560-9584
Mailing address
5220 Greens Dairy Rd
Raleigh, NC 27616-4612
Phone (919) 256-3576
National Provider Directory
National Provider DirectoryLocations
101 Lattner Ct
Ste 101
Morrisville, NC 27560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597017600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1597017600000",
"number": "1144831611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5220 GREENS DAIRY RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276164612",
"telephone_number": "919-256-3576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 LATTNER CT STE 101",
"city": "MORRISVILLE",
"state": "NC",
"postal_code": "275609584",
"telephone_number": "919-781-1437"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RALEIGH RADIOLOGY ENTERPRISES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-10",
"last_updated": "2020-08-10",
"certification_date": "2020-08-10",
"status": "A",
"authorized_official_last_name": "MATHAN",
"authorized_official_first_name": "SATISH",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "919-781-1437",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morrisville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.