NPIMap

Diagnostic Radiology & Imaging LLC

Organization Active NPI Diagnostic Radiology Physician · Greensboro, NC

NPI 1265469795 · NPPES record last updated Oct 31, 2025

Key facts

NPI
1265469795
Entity type
Organization (NPI type 2)
Primary specialty
Diagnostic Radiology Physician 2085R0202X
Legal business name
DIAGNOSTIC RADIOLOGY & IMAGING LLC
Practice address
315 W Wendover Ave
Greensboro, NC 27408-8401
Phone
(336) 433-5000
Fax
(336) 433-5111
NPI assigned
Jun 28, 2006
Organization subpart
No

Authorized official

Name
Kelli Annette Collins
Title
Coo
Phone
(336) 433-5010

Member of 1

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

Practitioners 192

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 192

Medicare participation

Medicare fee-for-service enrollment
Enrolled (18 enrollments) in NC, HI, CA, PA, WA, MA, TX, SC, TN, CO, GA, AL, VA, NV, DC, ID, NY, FL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040204001013 NC Part B Supplier - Clinic/Group Practice 4183517097 Receives reassigned benefits from 135 practitioners
2 other NPIs on this enrollment
O20190723001445 HI Part B Supplier - Clinic/Group Practice 4183517097 Receives reassigned benefits from 12 practitioners
Practice locations: Honolulu, HI
O20200129002157 CA Part B Supplier - Clinic/Group Practice 4183517097 Receives reassigned benefits from 3 practitioners
Practice locations: California, CA; Corte Madera, CA; Fresno, CA; San Francisco, CA; Tarzana, CA; Berkeley, CA
O20200327001709 PA Part B Supplier - Clinic/Group Practice 4183517097 Receives reassigned benefits from 1 practitioner
Practice locations: Philadelphia, PA; Sewickley, PA
O20200416001282 WA Part B Supplier - Clinic/Group Practice 4183517097 Receives reassigned benefits from 2 practitioners
Practice locations: Fox Island, WA; Seattle, WA
O20200624002188 MA Part B Supplier - Clinic/Group Practice 4183517097 Receives reassigned benefits from 2 practitioners
Practice locations: Westwood, MA; Chatham, MA
O20201019003174 TX Part B Supplier - Clinic/Group Practice 4183517097 Receives reassigned benefits from 5 practitioners
Practice locations: Abilene, TX; Denton, TX; Fair Oaks Ranch, TX; Highland Village, TX; Southlake, TX
O20201210001558 SC Part B Supplier - Clinic/Group Practice 4183517097 Receives reassigned benefits from 6 practitioners
Practice locations: Myrtle Beach, SC; Greenville, SC; Charleston, SC; Daniel Island, SC
O20221007000471 TN Part B Supplier - Clinic/Group Practice 4183517097 Practice locations: College Grove, TN
O20230511000093 CO Part B Supplier - Clinic/Group Practice 4183517097 Receives reassigned benefits from 2 practitioners
Practice locations: Boulder, CO; Colorado Springs, CO
O20230519001941 GA Part B Supplier - Clinic/Group Practice 4183517097 Receives reassigned benefits from 1 practitioner
Practice locations: Atlanta, GA
O20230522000123 AL Part B Supplier - Clinic/Group Practice 4183517097 Receives reassigned benefits from 1 practitioner
Practice locations: Bessemer, AL
O20240116002884 VA Part B Supplier - Clinic/Group Practice 4183517097 Receives reassigned benefits from 2 practitioners
Practice locations: Winchester, VA; Woodbridge, VA
O20240119002265 NV Part B Supplier - Clinic/Group Practice 4183517097 Receives reassigned benefits from 3 practitioners
Practice locations: Las Vegas, NV
O20240322000100 DC Part B Supplier - Clinic/Group Practice 4183517097 Receives reassigned benefits from 2 practitioners
Practice locations: Fairfax Station, VA; Herndon, VA; MC Lean, VA; Washington, DC
O20240426000256 ID Part B Supplier - Clinic/Group Practice 4183517097 Receives reassigned benefits from 1 practitioner
Practice locations: Idaho Falls, ID
O20240508002753 NY Part B Supplier - Clinic/Group Practice 4183517097 Receives reassigned benefits from 3 practitioners
Practice locations: Manlius, NY; New York, NY; White Plains, NY
O20250515000406 FL Part B Supplier - Clinic/Group Practice 4183517097 Receives reassigned benefits from 10 practitioners
Practice locations: Lighthouse Point, FL; Winter Garden, FL; Vero Beach, FL; Tarpon Springs, FL; Tampa, FL; Sarasota, FL; Saint Johns, FL; Miami, FL…

National Provider Directory

Locations

1936 University Ave
Ste 280
Berkeley, CA 94704
Phone (510) 204-0688

1936 University Ave
Ste 28
Berkeley, CA 94704

1357 Kapiolani Blvd
Unit 48
Honolulu, HI 96814

4030 Oaks Professional Pkwy
Ste 101
Burlington, NC 27215

6199 Lake Brandt Rd
Greensboro, NC 27455
Phone (800) 582-8655

1150 Revolution Mill Dr
Ste 9
Greensboro, NC 27405

1002 N Church St
Ste 401
Greensboro, NC 27401
Phone (336) 271-4999

4035 Premier Dr
Ste 111
High Point, NC 27265

11009 Ingleside Pl
Ste 103
Raleigh, NC 27614
Phone (919) 752-7284

11009 Ingleside Pl
Raleigh, NC 27614

609B Sullivan Rd
Statesville, NC 28677
Phone (704) 871-8115

154 S Main St
Troutman, NC 28166
Phone (704) 528-9903

112 Chesley Dr
Ste 100
Media, PA 19063
Phone (215) 710-6586

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 2085R0202X Yes

Addresses

Primary practice location

315 W Wendover Ave
Greensboro, NC 27408-8401

Mailing address

1150 Revolution Mill Dr Ste 9
Greensboro, NC 27405-5086
Phone (336) 280-4003

Other identifiers

IdentifierTypeStateIssuer
790233AMedicaidNC
0233AOtherNCBCBS OF NC
1601436OtherNCUNITED HEALTHCARE
CN4018OtherNCRAILROAD MEDICARE

Other names

  • Greensboro Imaging Doing business as

Other providers in Greensboro, NC

All providers in Greensboro, NC · Diagnostic Radiology Physician in North Carolina

Sources for this page

Verify at the official NPI Registry.