Organization Name: | CHARLOTTE RADIOLOGY PA |
NPI Number: | 1003110677 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JANE T LUTZ (PRIVILEGING & REGULATORY MANAGEMENT) |
Mailing Address: | 3816 Latrobe Dr Charlotte |
State: | NC US |
Postal Code: | 282111167 |
Phone Number: | 7049095960 |
Fax Number: | 7047700501 |
NPI Enumeration Date: | 12/22/2010 |
NPI Last Update Date: | 01/30/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |