Active NPI
Durham Diagnostic Imaging LLC
- Diagnostic Radiology Physician
- Cary, NC
National Provider Identifier
1376789651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- DURHAM DIAGNOSTIC IMAGING LLC
- Doing business as
- North Carolina Diagnostic Imaging-Cary
- Practice address
- 3700 NW Cary Pkwy
Suite 120
Cary, NC 27513-8446 - Phone
- (919) 461-2361
- Fax
- (919) 461-8402
- NPI assigned
- Dec 17, 2008
- 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
- Coo
- Phone
- (770) 300-0101
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
3700 NW Cary Pkwy
Suite 120
Cary, NC 27513-8446
Mailing address
PO Box 933393
Atlanta, GA 31193-0001
Phone (336) 659-1211
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5950731 | Medicaid | NC | |
| 9871276 | Other | NC | AETNA |
| 020YH | Other | NC | BCBS |
Other names 1
- North Carolina Diagnostic Imaging-Cary
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Physical Therapy Clinic/Center
- Winston Salem, NC
- NPI 1205894029
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229472000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1345852800000",
"number": "1376789651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 933393",
"city": "ATLANTA",
"state": "GA",
"postal_code": "311930001",
"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": "3700 NW CARY PKWY",
"address_2": "SUITE 120",
"city": "CARY",
"state": "NC",
"postal_code": "275138446",
"telephone_number": "919-461-2361",
"fax_number": "919-461-8402"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DURHAM DIAGNOSTIC IMAGING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-17",
"last_updated": "2012-08-25",
"status": "A",
"authorized_official_last_name": "SCHAEFER",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "770-300-0101",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5950731",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "9871276",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "020YH",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "North Carolina Diagnostic Imaging-Cary",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.