Diagnostic Radiology & Imaging, LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

DIAGNOSTIC RADIOLOGY & IMAGING, LLC

Doing business as

Greensboro Imaging at 3801 West Market Street

Practice address

3801 W Market St
Greensboro, NC 27407-1301

Phone

(336) 852-3300

Fax

(336) 852-0651

NPI assigned

Nov 17, 2009

Last updated

Apr 30, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

DIAGNOSTIC RADIOLOGY & IMAGING, LLCAs reported in NPPES

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

Authorized official

Name

Christian S Wilson

Title

Avp Regional Operations

Phone

(336) 540-4322

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Greensboro Imaging at 3801 West Market Street Doing business as

Part of

Diag Rad Imag LLC

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

{
    "created_epoch": "1258416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619740800000",
    "number": "1780911438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 NORTH ELM STREET",
            "address_2": "SUITE 200",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274016304",
            "telephone_number": "336-274-9617",
            "fax_number": "336-482-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 W MARKET ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274071301",
            "telephone_number": "336-852-3300",
            "fax_number": "336-852-0651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC RADIOLOGY & IMAGING, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIAGNOSTIC RADIOLOGY & IMAGING, LLC",
        "enumeration_date": "2009-11-17",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "AVP REGIONAL OPERATIONS",
        "authorized_official_telephone_number": "336-540-4322"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5913690",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "022GU",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greensboro Imaging at 3801 West Market Street",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Greensboro Imaging at 3801 West Market Street",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Apr 30, 2021; 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.