Dominion Radiology LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

DOMINION RADIOLOGY LLC

Practice address

1331 N Elm St Ste 200
Greensboro, NC 27401-6304

Phone

(336) 274-9617

NPI assigned

Aug 22, 2019

Organization subpart

No

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

Authorized official

Name

Keegan Scanlon

Title

Vice President

Phone

(424) 354-8724

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566432000000",
    "number": "1730736885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13333 NORTHWEST FWY STE 540",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770406166",
            "telephone_number": "561-366-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 N ELM ST STE 200",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274016304",
            "telephone_number": "336-274-9617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINION RADIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-22",
        "last_updated": "2019-08-22",
        "status": "A",
        "authorized_official_last_name": "SCANLON",
        "authorized_official_first_name": "KEEGAN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "424-354-8724"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Dollar
• Autumn S Domingez, PHARM D, RPH
• Kerusso Pooley Dominguez, DDS
• Andrea Dominick
• Dominion Diagnostics LLC
• Donald J Digby MD PA
• Lareese Donaldson
• Natalie Meredith Donati Garmon, ACNPC-AG
• Donna'S Home Healthcare
• Dontae Antuan Donnell Sr., LPCA, LCASA

• Diagnostic Radiology Physician in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Diagnostic Radiology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; 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.