Invision Diagnostics, LLC

Primary specialty

Mobile Mammography Clinic/CenterTaxonomy code 261QR0207X

Legal business name

INVISION DIAGNOSTICS, LLC

Practice address

11220 Elm LN Ste 200
Charlotte, NC 28277-0450

Phone

(704) 624-6228

NPI assigned

Feb 7, 2017

Last updated

Aug 11, 2025By 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

Michael Dyer

Title

President

Phone

(877) 318-1349

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC, SC2 enrollments

Enrollment records 2

Locations

Practitioners 3

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.

• Travis T Henderson, M.D.

  • Diagnostic Radiology Physician
  • Sanford, NC
  • NPI 1679539381
  NPD
• John William Wittenborn, M.D.

  • Diagnostic Radiology Physician
  • Morganton, NC
  • NPI 1720181167
  NPD
• Jennifer Rosser Pavlo, MD

  • Diagnostic Radiology Physician
  • Akron, OH
  • NPI 1568657260
  NPD

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754870400000",
    "number": "1497293773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13219",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277093219",
            "telephone_number": "778-318-1349",
            "fax_number": "704-966-2407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11220 ELM LN STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282770450",
            "telephone_number": "704-624-6228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1184 Springmaid Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fort Mill",
            "state": "SC",
            "postal_code": "297087001",
            "country_code": "US",
            "telephone_number": "877-318-1349",
            "fax_number": "704-966-2407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INVISION DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-07",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A",
        "authorized_official_last_name": "DYER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "877-318-1349"
    },
    "taxonomies": [
        {
            "code": "261QR0207X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile Mammography",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NPC187",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497293773",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; 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.

Verify at the official NPI Registry.