Southeastern Radiology Pa

LBN: Southeastern Radiology Pa
Southeastern Radiology Pa is an health care organization with primary practice located at 3801 W Market St , Greensboro NC 27407-1301. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Southeastern Radiology Pa can be contacted via phone (336) 852-3300, or through Smith, Dallas Aaron via phone (336) 852-3300.

Contact Information

Primary practice address
3801 W Market St Greensboro NC 27407-1301
Phone: (336) 852-3300
Fax: (336) 852-0651
Website:
Map and Directions
Authorized official contact:
Name: Smith, Dallas Aaron Doctor of Medicine (MD)
Phone: (336) 852-3300

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 400555 North Carolina

Profile Details

NPI number 1669476453
LBN Legal business name Southeastern Radiology Pa
DBA Doing business as
Authorized official Smith, Dallas Aaron Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2005
Last updated Dec 8th, 2008 - about 18 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 1669476453 NPPES
North Carolina MEDICAID 890252K

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