Active NPI
US Radiology Connexia LLC
- Diagnostic Radiology Physician
- Raleigh, NC
National Provider Identifier
1326828799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- US RADIOLOGY CONNEXIA LLC
- Practice address
- 4200 Six Forks Rd Ste 1000
Raleigh, NC 27609-2686 - Phone
- (704) 334-7800
- NPI assigned
- Oct 3, 2023
- 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
- Katrina Roelle
- Title
- Director of Credentialing
- Phone
- (614) 689-1691
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
4200 Six Forks Rd Ste 1000
Raleigh, NC 27609-2686
Mailing address
4200 Six Forks Rd Ste 1000
Raleigh, NC 27609-2686
National Provider Directory
National Provider DirectoryLocations
4200 Six Forks Rd
Ste 1000
Raleigh, NC 27609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696291200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696291200000",
"number": "1326828799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4200 SIX FORKS RD STE 1000",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276092686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 SIX FORKS RD STE 1000",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276092686",
"telephone_number": "704-334-7800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "US RADIOLOGY CONNEXIA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-03",
"last_updated": "2023-10-03",
"certification_date": "2023-10-03",
"status": "A",
"authorized_official_last_name": "ROELLE",
"authorized_official_first_name": "KATRINA",
"authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
"authorized_official_telephone_number": "614-689-1691"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.