Organization · Type 2 NPI

Mecklenburg Diagnostic Imaging LLC

Diagnostic Radiology Physician · Mooresville, NC

NPI number 1215080536 Active

Practice location

118 Gateway Blvd Ste E
Mooresville, NC 28117-6542

Fax (704) 662-8846

Mailing address

PO Box 603543
Charlotte, NC 28260-3543

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XNone listed

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1215080536

Mecklenburg Diagnostic Imaging LLC's National Provider Identifier is 1215080536, issued on Jan 19, 2007. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Mooresville, NC. The record was last updated on Mar 19, 2024.