Southeastern Radiology Pa in Greensboro - Diagnostic Radiology
Southeastern Radiology Pa - NPI 1669476453
Southeastern Radiology Pa is a Diagnostic Radiology in Greensboro, North Carolina. Southeastern Radiology Pa practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Southeastern Radiology Pa is 1669476453. The last update date is 2008-12-08.
Southeastern Radiology Pa's current location address is 3801 W Market St, Greensboro, North Carolina. You can contact this provider via phone number 3368523300 and fax number 3368520651. The mailing address for Southeastern Radiology Pa is 3801 W Market St, Greensboro, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southeastern Radiology Pa |
|---|---|
| Address | 3801 W Market St, Greensboro, North Carolina |
| Phone Number | 3368523300 |
| Fax Number | 3368520651 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Smith Aaron Dallas |
| Credentials | MD |
| Telephone Number | 3368523300 |
NPI Number Detail
| NPI Number | 1669476453 |
|---|---|
| Provider Enumeration Date | 2005-06-09 |
| Last Updated Date | 2008-12-08 |
Provider Mailing Address Detail
| Address | 3801 W Market St |
|---|---|
| City | Greensboro |
| State | North Carolina (NC) |
| Post Code | 2740713010 |
| Phone Number | 3368523300 |
| Fax Number | 3368520651 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 400555 |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 890252K | NC | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Southeastern Radiology Pa by the Centers for Medicare & Medicaid Services?
The Southeastern Radiology Pa has been issued the NPI (National Provider Identifier) 1669476453. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Southeastern Radiology Pa is physically located?
The Southeastern Radiology Pa is situated at the following address: 3801 W Market St, Greensboro, NC 2740713010.
What is Southeastern Radiology Pa's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Southeastern Radiology Pa's specialized field of practice is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this area of specialization is 2085R0202X.
When was the Southeastern Radiology Pa's 1669476453 issued?
The Southeastern Radiology Pa's 1669476453 was issued on 2005-06-09.
As of what date were the details related to Southeastern Radiology Pa most recently updated or revised?
The information pertaining to Southeastern Radiology Pa, including its address, specialty, and other relevant details, was last updated or revised on 2008-12-08.
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