PC Medical Diagnostics

Primary specialty

Radiologic TechnologistTaxonomy code 247100000X

Legal business name

PC MEDICAL DIAGNOSTICS

Practice address

610 N Fayetteville St
Suite 104
Asheboro, NC 27203-4670

Phone

(336) 672-6000

Fax

(336) 672-6001

NPI assigned

Oct 15, 2007

Last updated

Oct 15, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Imran Pasha Haque, MD

Title

Owner

Phone

(336) 672-6000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1225227309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N FAYETTEVILLE ST",
            "address_2": "SUITE 104",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272034670",
            "telephone_number": "336-672-6000",
            "fax_number": "336-672-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N FAYETTEVILLE ST",
            "address_2": "SUITE 104",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272034670",
            "telephone_number": "336-672-6000",
            "fax_number": "336-672-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PC MEDICAL DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "HAQUE",
        "authorized_official_first_name": "IMRAN",
        "authorized_official_middle_name": "PASHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-672-6000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Elena O. Patterson, M.D.
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• Joshua Joseph Peck, PA-C
• Lori Gwen Pegram, LCMHC
• Elizabeth M Pekarek, M.D.

• Radiologic Technologist in Asheboro, NC
• Providers in Asheboro, NC by specialty
• Radiologic Technologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.