Organization Active NPI

East Coast Imaging, LLC

  • Radiology Clinic/Center
  • Pembroke, NC
National Provider Identifier
1497903298
Registry record updated Oct 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
EAST COAST IMAGING, LLC
Practice address
812 Candy Park Rd
Suite 7101-C
Pembroke, NC 28372-9129
Phone
(910) 522-0470
NPI assigned
Sep 4, 2008
Last updated
Oct 13, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. David A Hurley, RT(R)NPI 1326296294
Title
Owner
Phone
(910) 522-0470

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)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X NU Primary

Addresses

Primary practice location

812 Candy Park Rd
Suite 7101-C
Pembroke, NC 28372-9129

Mailing address

4443 Waccamaw Shores Rd
Lake Waccamaw, NC 28450-2401
Phone (910) 840-6766

National Provider Directory

National Provider Directory

Locations

812 Candy Park Rd
#7101C
Pembroke, NC 28372
Phone (910) 522-0470

812 Candy Park Rd
Ste 7101C
Pembroke, NC 28372
Phone (910) 522-0470

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286928000000",
    "number": "1497903298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4443 WACCAMAW SHORES RD",
            "city": "LAKE WACCAMAW",
            "state": "NC",
            "postal_code": "284502401",
            "telephone_number": "910-840-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 CANDY PARK RD",
            "address_2": "SUITE 7101-C",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283729129",
            "telephone_number": "910-522-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST COAST IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-04",
        "last_updated": "2010-10-13",
        "status": "A",
        "authorized_official_last_name": "HURLEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-522-0470",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RT(R)"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; 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.