Organization Name: | REIDSVILLE IMAGING CENTER, LLC |
NPI Number: | 1508807249 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RAYMOND EVELAND (MEMBER) |
Mailing Address: | 2509 Richardson Dr Suite A Reidsville |
State: | NC US |
Postal Code: | 273205901 |
Phone Number: | 3363495899 |
Fax Number: | 3363495995 |
NPI Enumeration Date: | 06/10/2006 |
NPI Last Update Date: | 01/16/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |