NPIMap

Organization Active NPI

Geodax Imaging, LLC

  • Nuclear Medicine Technology Radiologic Technologist
  • Greensboro, NC
National Provider Identifier
1821028986
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Medicine Technology Radiologic TechnologistTaxonomy code 2471N0900X
Legal business name
GEODAX IMAGING, LLC
Practice address
301 Battleground Ave
Greensboro, NC 27401-2101
Phone
(336) 274-2844
Fax
(336) 274-2817
NPI assigned
Jul 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Reginald R. Sipe
Title
VP/Cfo
Phone
(336) 274-2844

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Technology Radiologic TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 2471N0900X Primary

Addresses

Primary practice location

301 Battleground Ave
Greensboro, NC 27401-2101

Mailing address

301 Battleground Ave
Greensboro, NC 27401-2101
Phone (336) 274-2844

National Provider Directory

National Provider Directory
Tax ID family
Geodax Imaging LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

301 Battleground Ave
Greensboro, NC 27401
Phone (336) 274-2844

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821028986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 BATTLEGROUND AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274012101",
            "telephone_number": "336-274-2844",
            "fax_number": "336-274-2817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 BATTLEGROUND AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274012101",
            "telephone_number": "336-274-2844",
            "fax_number": "336-274-2817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEODAX IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIPE",
        "authorized_official_first_name": "REGINALD",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "VP/CFO",
        "authorized_official_telephone_number": "336-274-2844"
    },
    "taxonomies": [
        {
            "code": "2471N0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Nuclear Medicine Technology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

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