Charlotte Radiology Pa

LBN: Charlotte Radiology Pa
Charlotte Radiology Pa is an health care organization with primary practice located at 1025 Morehead Medical Dr Ste 150 , Charlotte NC 28204-2973. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Charlotte Radiology Pa can be contacted via phone (704) 362-5391, or through Lutz, Jane T via phone (704) 362-5391.

Contact Information

Primary practice address
1025 Morehead Medical Dr Ste 150 Charlotte NC 28204-2973
Phone: (704) 362-5391
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lutz, Jane T
Phone: (704) 362-5391

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X

Profile Details

NPI number 1003110677
LBN Legal business name Charlotte Radiology Pa
DBA Doing business as
Authorized official Lutz, Jane T
Entity Organization
Organization subpart 1 No
Enumeration date Dec 22nd, 2010
Last updated Mar 17th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003110677 NPPES
North Carolina Other P00921619 RR MEDICARE
North Carolina MEDICAID 5916456 RR MEDICARE

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