Pdi Health NC LLC

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

Legal business name

PDI HEALTH NC LLC

Doing business as

Preventive Diagnostics

Practice address

6047 Tyvola Glen Cir
Charlotte, NC 28217-6431

Phone

(800) 749-9729

NPI assigned

Aug 5, 2019

Last updated

Aug 5, 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

Menachem Tauber

Title

Ceo

Phone

(800) 749-9729

Specialties & licenses 1

Addresses

Other names 1

• Preventive Diagnostics Doing business as

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564963200000",
    "number": "1952956195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 SPENCER ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112051891",
            "telephone_number": "800-749-9729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6047 TYVOLA GLEN CIR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282176431",
            "telephone_number": "800-749-9729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PDI HEALTH NC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-05",
        "last_updated": "2019-08-05",
        "status": "A",
        "authorized_official_last_name": "TAUBER",
        "authorized_official_first_name": "MENACHEM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-749-9729"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Preventive Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.