Southern Diagnostic Imaging, Inc.

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

License

26939 Issued in NC

Legal business name

SOUTHERN DIAGNOSTIC IMAGING, INC.

Practice address

10 Parkside PL
Asheville, NC 28804-1324

Phone

(828) 258-1088

NPI assigned

Feb 13, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Ruth M Battle, RDCS, RVT, RDMS

Title

President, Sdi

Phone

(828) 258-1088

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1392249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392249600000",
    "number": "1164846010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 PARKSIDE PL",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288041324",
            "telephone_number": "828-258-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PARKSIDE PL",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288041324",
            "telephone_number": "828-258-1088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN DIAGNOSTIC IMAGING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-13",
        "last_updated": "2014-02-13",
        "status": "A",
        "authorized_official_last_name": "BATTLE",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT, SDI",
        "authorized_official_telephone_number": "828-258-1088",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDCS, RVT, RDMS"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "NC",
            "license": "26939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8105008",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physiological Laboratory in Asheville, NC
• Providers in Asheville, NC by specialty
• Physiological Laboratory in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2014; 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.