Active NPI
Chatham Imaging Services of Pittsboro, LLC
- Physiological Laboratory
- Pittsboro, NC
National Provider Identifier
1669834131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physiological Laboratory
- 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.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
- Critical Access Hospital
- Siler City, NC
- NPI 1689967457
Practitioners & 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
- Chapel Hill, NC
- NPI 1245434141
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.