MECKLENBURG DIAGNOSTIC IMAGING LLC NPI 1770636268

NPI Information

  • NPI: 1770636268
  • Provider Name: MECKLENBURG DIAGNOSTIC IMAGING LLC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Doing Business As: NOVANT HEALTH IMAGING GASTONIA
  • CLIA Number: 34D0874133
  • Address: 920 COX RD
    BLDG C STE 101
    GASTONIA, NC
    ZIP 28054
  • Phone: (704) 854-3933

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NPI Details

MECKLENBURG DIAGNOSTIC IMAGING LLC is a diagnostic radiology radiology in Gastonia, NC. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MECKLENBURG DIAGNOSTIC IMAGING LLC NPI is 1770636268. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Novant Health Imaging Gastonia.

The provider's business location address is:

920 COX RD
BLDG C STE 101
GASTONIA, NC
ZIP 28054-456
Phone: (704) 854-3933
Fax: (704) 854-3995

The provider's authorized official is Geoffrey K. Gardner .
The authorized official title is Svp Finance And Revenue Cycle and has the following contact phone number (336) 718-2078.

The CLIA number assigned to this NPI record is 34D0874133 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
  • Injection, gadobutrol, 0.1 ml (HCPCS:A9585)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Low dose ct scan of chest for lung cancer screening (HCPCS:71271)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Mri scan of abdomen before and after contrast (HCPCS:74183)

The enumeration date for this NPI number is 1/19/2007 and was last updated on 3/19/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyNORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P00315955OTHERMEDICARE RAILROAD
2020F0OTHERNORTH CAROLINABCBS
3NPB298MEDICAIDSOUTH CAROLINA
45950089MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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