Active NPI
Carolina Imaging LLC of Fayetteville
- Diagnostic Radiology Physician
- Fayetteville, NC
National Provider Identifier
1205000916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- CAROLINA IMAGING LLC OF FAYETTEVILLE
- Practice address
- 3628 Cape Center Dr
Fayetteville, NC 28304-4406 - Phone
- (910) 483-1321
- Fax
- (910) 323-3521
- NPI assigned
- Apr 15, 2008
- Last updated
- Aug 23, 2012
- 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
- Mr. Daniel J Schaefer
- Title
- C.O.O.
- Phone
- (770) 300-0101
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | NU | Primary |
Addresses
Primary practice location
3628 Cape Center Dr
Fayetteville, NC 28304-4406
Mailing address
P.O. Box 933393
Atlanta, GA 31193-3393
Phone (336) 659-1211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CA8698 | Other | RR MEDICARE PIN |
National Provider Directory
National Provider Directory- Tax ID family
- Carolina Imaging LLC of Fayetteville
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Diagnostic Radiology Physician
- Fayetteville, NC
- NPI 1669430971
Locations
3628 Cape Center Dr
Fayetteville, NC 28304
Phone (910) 483-1321
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1345680000000",
"number": "1205000916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 933393",
"city": "ATLANTA",
"state": "GA",
"postal_code": "311933393",
"telephone_number": "336-659-1211",
"fax_number": "336-774-1751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3628 CAPE CENTER DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283044406",
"telephone_number": "910-483-1321",
"fax_number": "910-323-3521"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLINA IMAGING LLC OF FAYETTEVILLE",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-15",
"last_updated": "2012-08-23",
"status": "A",
"authorized_official_last_name": "SCHAEFER",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "C.O.O.",
"authorized_official_telephone_number": "770-300-0101",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PIN",
"identifier": "CA8698",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, NC
- Carolina Health Associates PC (Carolina Health and wellness)
- Carolina Health Care Center of Cumberland County, LP (Carolina Rehab Center of Cumberland)
- Carolina Heart Physicians PLLC
- Carolina Homehealth Agency LLC (Carolina Homehealth Agency)
- Carolina Hope Behavioral Health LLC
- Carolina Imaging LLC of Fayetteville
- Carolina Imaging LLC of Fayetteville (Carolina Imaging-Ramsey)
- Carolina Kidney Care, PA
- Carolina Medical Specialties, Inc.
- Carolina Medical Supplies, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.