Presbyterian Imaging Centers LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

PRESBYTERIAN IMAGING CENTERS LLC

Doing business as

Presbyterian Diagnostic Center - Monroe

Practice address

2000 Wellness Boulevard
Ste 110
Monroe, NC 28110-7764

Phone

(704) 316-1180

Fax

(704) 316-1181

NPI assigned

Aug 20, 2008

Last updated

Sep 13, 2012By 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

Fred M Hargett

Title

Evp Cfo

Phone

(704) 384-5184

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Presbyterian Diagnostic Center - Monroe Doing business as

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347494400000",
    "number": "1407003510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60598",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600598",
            "telephone_number": "866-659-1211",
            "fax_number": "336-774-1751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 WELLNESS BOULEVARD",
            "address_2": "STE 110",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281107764",
            "telephone_number": "704-316-1180",
            "fax_number": "704-316-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESBYTERIAN IMAGING CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-20",
        "last_updated": "2012-09-13",
        "status": "A",
        "authorized_official_last_name": "HARGETT",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EVP CFO",
        "authorized_official_telephone_number": "704-384-5184"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5917804",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00187889",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC MEDICAID",
            "identifier": "NPB425",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "016M6",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "2881790E",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOL",
            "identifier": "615320700",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Presbyterian Diagnostic Center - Monroe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sharon M Posey
• Kallie D Pottle
• Richard D Powell, DDS
• Jennifer Gloeckner Powers, M.D.
• Premier Foot & Ankle Specialists
• Presbyterian Sameday Surgery Center at Monroe, LLC (Presbyterian Surgery Center Monroe)
• Cynthia Ann Prevatt, CRNA
• Julia Honeycutt Price, PA-C
• Stephanie Laney Price
• Tiara Price

• Diagnostic Radiology Physician in Monroe, NC
• Providers in Monroe, NC by specialty
• Diagnostic Radiology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.

Verify at the official NPI Registry.