Active NPI
Reidsville Imaging Center, LLC
- Body Imaging Physician
- Reidsville, NC
National Provider Identifier
1508807249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Body Imaging Physician
- Legal business name
- REIDSVILLE IMAGING CENTER, LLC
- Practice address
- 2509 Richardson Dr
Suite a
Reidsville, NC 27320-5901 - Phone
- (336) 349-5899
- Fax
- (336) 349-5995
- NPI assigned
- Jun 10, 2006
- 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
- Raymond Eveland
- Title
- Member
- Phone
- (336) 202-5593
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | Primary |
Addresses
Primary practice location
2509 Richardson Dr
Suite a
Reidsville, NC 27320-5901
Mailing address
PO Box 16983
Chapel Hill, NC 27516-6983
Phone (919) 967-6646
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 017YH | Other | NC | BLUE CROSS/BLUE SHIELD |
| 5904292 | Medicaid | NC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Salisbury, NC
- NPI 1225032089
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1232064000000",
"number": "1508807249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 16983",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275166983",
"telephone_number": "919-967-6646",
"fax_number": "919-967-6647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2509 RICHARDSON DR",
"address_2": "SUITE A",
"city": "REIDSVILLE",
"state": "NC",
"postal_code": "273205901",
"telephone_number": "336-349-5899",
"fax_number": "336-349-5995"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REIDSVILLE IMAGING CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-10",
"last_updated": "2009-01-16",
"status": "A",
"authorized_official_last_name": "EVELAND",
"authorized_official_first_name": "RAYMOND",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "336-202-5593"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Body Imaging",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "017YH",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5904292",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Reidsville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.