Organization Active NPI

Chatham Imaging Services of Pittsboro, LLC

  • Physiological Laboratory
  • Pittsboro, NC
National Provider Identifier
1669834131
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
CHATHAM IMAGING SERVICES OF PITTSBORO, LLC
Practice address
75 Freedom Parkway
Pittsboro, NC 27312
Phone
(984) 215-3252
NPI assigned
Mar 24, 2016
Organization subpart
Yes
Parent organization
CHATHAM HOSPITAL INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Authorized official

Name
Michael Lee Bunch
Title
Cfo
Phone
(919) 799-4007

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

75 Freedom Parkway
Pittsboro, NC 27312

Mailing address

475 Progress Blvd
Siler City, NC 27344-6787
Phone (919) 799-4001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160524000783 NC Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 3870882277 Practice locations: Pittsboro, NC

National Provider Directory

National Provider Directory
Part of
Chatham Dermatology CL

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

75 Freedom Pkwy
Ste F
Pittsboro, NC 27312
Phone (984) 215-3252

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671494400000",
    "number": "1669834131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 PROGRESS BLVD",
            "city": "SILER CITY",
            "state": "NC",
            "postal_code": "273446787",
            "telephone_number": "919-799-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 FREEDOM PARKWAY",
            "city": "PITTSBORO",
            "state": "NC",
            "postal_code": "27312",
            "telephone_number": "984-215-3252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHATHAM IMAGING SERVICES OF PITTSBORO, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHATHAM HOSPITAL INC.",
        "enumeration_date": "2016-03-24",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A",
        "authorized_official_last_name": "BUNCH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "919-799-4007"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.