Organization Name: | EASTERN CAROLINAS IMAGING, LLC |
NPI Number: | 1073690467 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHARLENE INETTE BERRY (OFFICER/OWNER) |
Mailing Address: | 109 N Jk Powell Blvd Whiteville |
State: | NC US |
Postal Code: | 284723123 |
Phone Number: | 9106402823 |
Fax Number: | 9106403327 |
NPI Enumeration Date: | 11/01/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0200X |
License Number: | 9700465 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Radiology |
Taxonomy Definition: |