Organization Active NPI

Excel Imaging LLC

  • Diagnostic Radiology Physician
  • Winston Salem, NC
National Provider Identifier
1316055593
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
EXCEL IMAGING LLC
Doing business as
Excel Imaging at Greystone
Practice address
2025 Frontis Plaza Blvd
Suite 123
Winston Salem, NC 27103-5663
Phone
(336) 794-4372
Fax
(336) 659-2379
NPI assigned
Aug 28, 2006
Organization subpart
Yes
Parent organization
EXCEL IMAGING LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Linda Skarzynski
Title
Cfo
Phone
(336) 794-4372

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X NC Primary

Addresses

Primary practice location

2025 Frontis Plaza Blvd
Suite 123
Winston Salem, NC 27103-5663

Mailing address

3155 Maplewood Ave
Winston Salem, NC 27103-3903
Phone (336) 794-4372

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidNC

Other names 1

  • Excel Imaging at Greystone Doing business as

National Provider Directory

National Provider Directory
Part of
Excel Imaging LLC

Locations

2025 Frontis Plaza Blvd
Ste 123
Winston Salem, NC 27103
Phone (336) 794-4190

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1316055593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 MAPLEWOOD AVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033903",
            "telephone_number": "336-794-4372",
            "fax_number": "336-659-2379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 FRONTIS PLAZA BLVD",
            "address_2": "SUITE 123",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271035663",
            "telephone_number": "336-794-4372",
            "fax_number": "336-659-2379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL IMAGING LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EXCEL IMAGING LLC",
        "enumeration_date": "2006-08-28",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "SKARZYNSKI",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "336-794-4372"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Excel Imaging at Greystone",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.