Organization Active NPI

Triangle Diagnostic

  • Diagnostic Neuroimaging (Radiology) Physician
  • Fuquay Varina, NC
National Provider Identifier
1689292625
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Neuroimaging (Radiology) PhysicianTaxonomy code 2085D0003X
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

Updated by the provider on Sep 9, 2020

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)CodeLicenseStatePrimary
Diagnostic Neuroimaging (Radiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.