Active NPI
Choice Imaging, LLC
- Radiologic Technologist
- Maxton, NC
National Provider Identifier
1447430434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiologic Technologist
- License
- 100161
- Legal business name
- CHOICE IMAGING, LLC
- Practice address
- 5277 Mount Zion Church Rd
Maxton, NC 28364-9288 - Phone
- (910) 536-5668
- Fax
- (910) 843-4629
- NPI assigned
- Nov 7, 2007
- Last updated
- Aug 20, 2013
- 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
- Roxann Locklear
- Title
- Owner/Operator
- Phone
- (910) 536-5668
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiologic Technologist | 247100000X | 100161 | NC | Primary |
Addresses
Primary practice location
5277 Mount Zion Church Rd
Maxton, NC 28364-9288
Mailing address
PO Box 4059
Pembroke, NC 28372-4059
Phone (910) 536-5668
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100622000169 | NC | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 0042341984 | Practice locations: Maxton, NC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Diagnostic Radiology Physician
- Rockford, IL
- NPI 1821040866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194393600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1376956800000",
"number": "1447430434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4059",
"city": "PEMBROKE",
"state": "NC",
"postal_code": "283724059",
"telephone_number": "910-536-5668",
"fax_number": "910-843-4629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5277 MOUNT ZION CHURCH RD",
"city": "MAXTON",
"state": "NC",
"postal_code": "283649288",
"telephone_number": "910-536-5668",
"fax_number": "910-843-4629"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHOICE IMAGING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-07",
"last_updated": "2013-08-20",
"status": "A",
"authorized_official_last_name": "LOCKLEAR",
"authorized_official_first_name": "ROXANN",
"authorized_official_title_or_position": "OWNER/OPERATOR",
"authorized_official_telephone_number": "910-536-5668"
},
"taxonomies": [
{
"code": "247100000X",
"taxonomy_group": "",
"desc": "Radiologic Technologist",
"state": "NC",
"license": "100161",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maxton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.