Active NPI
East Coast Imaging, LLC
- Radiology Clinic/Center
- Pembroke, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- 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, 2010
- 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. David A Hurley, RT(R)
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Radiography Radiologic Technologist
- Pembroke, NC
- NPI 1326296294
-
- Diagnostic Radiology Physician
- Myrtle Beach, SC
- NPI 1518926062
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.