Active NPI
Triangle Diagnostic
- Diagnostic Neuroimaging (Radiology) Physician
- Fuquay Varina, NC
National Provider Identifier
1689292625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Neuroimaging (Radiology) Physician
- Legal business name
- TRIANGLE DIAGNOSTIC
- Practice address
- 320 N Judd Pkwy NE Ste 228
Fuquay Varina, NC 27526-2624 - Phone
- (910) 964-4995
- Fax
- (919) 367-3399
- NPI assigned
- Jul 7, 2020
- 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
- Barbara Sullivan
- Title
- Office Manager
- Phone
- (910) 446-1653
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Neuroimaging (Radiology) Physician | 2085D0003X | Primary | ||
| Sleep Disorder Diagnostic Clinic/Center | 261QS1200X |
Addresses
Primary practice location
320 N Judd Pkwy NE Ste 228
Fuquay Varina, NC 27526-2624
Mailing address
320 N Judd Pkwy NE Ste 228
Fuquay Varina, NC 27526-2624
Phone (910) 964-4995
National Provider Directory
National Provider DirectoryLocations
320 N Judd Pkwy NE
Ste 228
Fuquay Varina, NC 27526
Phone (910) 964-4995
3206 Heritage Trade Dr
Ste 100
Wake Forest, NC 27587
Phone (910) 964-4995
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594080000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1599609600000",
"number": "1689292625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 N JUDD PKWY NE STE 228",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "275262624",
"telephone_number": "910-964-4995",
"fax_number": "919-367-3399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 N JUDD PKWY NE STE 228",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "275262624",
"telephone_number": "910-964-4995",
"fax_number": "919-367-3399"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRIANGLE DIAGNOSTIC",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-07",
"last_updated": "2020-09-09",
"certification_date": "2020-09-09",
"status": "A",
"authorized_official_last_name": "SULLIVAN",
"authorized_official_first_name": "BARBARA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "910-446-1653"
},
"taxonomies": [
{
"code": "2085D0003X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Neuroimaging",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QS1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Sleep Disorder Diagnostic",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fuquay Varina, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.