Coastal Diagnostic Imaging, Pllc in Jacksonville - Specialist
Coastal Diagnostic Imaging, Pllc - NPI 1891741377
Coastal Diagnostic Imaging, Pllc is a Specialist in Jacksonville, North Carolina. Coastal Diagnostic Imaging, Pllc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Coastal Diagnostic Imaging, Pllc is 1891741377. The last update date is 2020-08-22.
Coastal Diagnostic Imaging, Pllc's current location address is 3606 Henderson Dr, Jacksonville, North Carolina. You can contact this provider via phone number 9109377226. The mailing address for Coastal Diagnostic Imaging, Pllc is 3606 Henderson Dr, Jacksonville, North Carolina. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Coastal Diagnostic Imaging, Pllc |
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Address | 3606 Henderson Dr, Jacksonville, North Carolina |
Phone Number | 9109377226 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | COO |
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Authorized Official Name | Villa Mike |
Telephone Number | 7703000101 |
NPI Number Detail
NPI Number | 1891741377 |
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Provider Enumeration Date | 2006-05-26 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 3606 Henderson Dr |
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City | Jacksonville |
State | North Carolina (NC) |
Post Code | 285465217 |
Phone Number | 9109377226 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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Taxonomy | 174400000X |
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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What is the unique identifier code issued to Coastal Diagnostic Imaging, Pllc by the Centers for Medicare & Medicaid Services (CMS)?
The Coastal Diagnostic Imaging, Pllc has been assigned the NPI (National Provider Identifier) 1891741377. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Coastal Diagnostic Imaging, Pllc located?
The Coastal Diagnostic Imaging, Pllc is located at 3606 Henderson Dr, Jacksonville, NC 285465217.
What is the Coastal Diagnostic Imaging, Pllc's area of specialization and corresponding taxonomy classification?
The Coastal Diagnostic Imaging, Pllc's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
On what date did the Coastal Diagnostic Imaging, Pllc receive its 1891741377 assignment from the Centers for Medicare & Medicaid Services?
The Coastal Diagnostic Imaging, Pllc was assigned its 1891741377 by the Centers for Medicare & Medicaid Services on 2006-05-26.
When was the information pertaining to Coastal Diagnostic Imaging, Pllc most recently updated or revised?
The details related to Coastal Diagnostic Imaging, Pllc, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
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