Novant Health Breast Center
LBN: Presbyterian Breast Center Llc
Novant Health Breast Center is an health care organization with primary practice located at 315 Lillington Avenue , Charlotte NC 28204. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Ambulatory Health Care Facilities / Radiology, Mammography, Laboratories / Physiological Laboratory. Allopathic & Osteopathic Physicians / Diagnostic Radiology is the primary health care specialty.
Presbyterian Breast Center Llc can be contacted via phone (704) 384-5000, or through Gardner, Geoffrey via phone (336) 718-2078.
Contact Information
Primary practice address
315 Lillington Avenue
Charlotte NC 28204
Phone: (704) 384-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | ||
| Ambulatory Health Care Facilities / Radiology, Mammography | 261QR0206X | ||
| Laboratories / Physiological Laboratory | 293D00000X | North Carolina |
Profile Details
| NPI number | 1326099201 |
|---|---|
| LBN Legal business name | Presbyterian Breast Center Llc |
| DBA Doing business as | Novant Health Breast Center |
| Authorized official | Gardner, Geoffrey |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 15th, 2006 |
| Last updated | Mar 20th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326099201 | NPPES |
| North Carolina | Other | 615320500 | NC DOL |
| North Carolina | MEDICAID | 89016K8 | NC DOL |
| North Carolina | Other | 16-42372 | NC DOL |
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