Southeast Radiology Associates PLLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

SOUTHEAST RADIOLOGY ASSOCIATES PLLC

Practice address

10926 David Taylor Dr Ste 120
Charlotte, NC 28262-1042

Phone

(704) 345-0789

NPI assigned

Nov 12, 2019

Last updated

Nov 12, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jonathan Lozevski, MD

Title

MBR

Phone

(704) 345-0789

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573516800000",
    "number": "1881239093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10926 DAVID TAYLOR DR STE 120",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282621042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10926 DAVID TAYLOR DR STE 120",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282621042",
            "telephone_number": "704-345-0789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST RADIOLOGY ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-12",
        "last_updated": "2019-11-12",
        "status": "A",
        "authorized_official_last_name": "LOZEVSKI",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "704-345-0789",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "wewew",
            "affiliation": "N",
            "address_1": "10926 David Taylor Dr Ste 120",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282621042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Southeast Psychological Services, PLLC
• Southeast Radiation Oncology Group, P.a.
• Southeast Renal Associates PA
• Southeast Surgical Specialists, PLLC
• Southeast Vulvar Clinic, PLLC
• Southeastern Hearing Centers Inc (Beltone Hearing Center)
• Southeastern Ocularists, Inc.

• Radiology Clinic/Center in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Radiology Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.