PROFESSIONAL ULTRASOUND & IMAGING (NPI# 1649398751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649398751 |
Entity Type | Organization |
Organization Name | PROFESSIONAL ULTRASOUND & IMAGING |
Practice Address |
136 Memory Plz Whiteville NC 28472-2640 |
Mailing Address |
Po Box 434 Chadbourn NC 28431-0434 |
Practice Telephone | 9109146154 |
Practice Fax Number | 9109146156 |
Mailing Telephone | 9106209097 |
Mailing Fax Number | 9106231343 |
Enumeration Date | 2007-03-27 |
Last Update Date | 2015-05-15 |
Authorized Official Name | MRS. CHRISTIAN HORTON LANE (OWNER) |
Authorized Official Telephone | 9106209097 |
Authorized Official Credential | RTR, RCS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 247100000X | Radiologic Technologist | 112625 | NC | Technologists, Technicians & Other Technical Service Providers |
Y | 293D00000X | Physiological Laboratory | 279513 | NC | Laboratories |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 8105016 | 05 |
Street Address |
136 MEMORY PLZ |
City | WHITEVILLE |
State | NC |
Zip Code | 28472-2640 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861427916 | Christian Horton Lane | Radiology | 136 Memory Plz, Whiteville, NC 28472-2640 | 2006-07-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720503568 | Anthony Ruan | Pharmacist | 1728 S Madison St., Whiteville, NC 28472 | 2017-08-12 |
1336677699 | Brittany Canady | Nurse Practitioner | 5 Whiteville Towncenter, Whiteville, NC 28472 | 2017-05-31 |
1801335773 | Mary Mcneill Hooks | Pharmacist | 612-10 Jefferson Street, Whiteville, NC 28472 | 2017-02-13 |
1386180248 | Mickey Worthington | Pharmacist | 20 Whiteville Town Ctr, Whiteville, NC 28472 | 2017-01-16 |
1851702138 | Tom Mauney Owens | Pharmacist | 612- 4 Jefferson Street, Whiteville, NC 28472 | 2014-05-08 |
1740429778 | Coastal Hearing Centers, Inc | Audiologist | 302 Liberty Street, Whiteville, NC 28472 | 2009-02-15 |
1689831653 | Amber Marie Wallace Robinson | Occupational Therapy Assistant | 1472 Pickney Street, Whiteville, NC 28472 | 2008-05-19 |
1225236417 | Sandra Pickett | Speech-Language Pathologist | 123 E. Columbus Street, Whiteville, NC 28472 | 2007-07-10 |
1306041249 | Kimberlee White | Speech-Language Pathologist | 123 E Columbus Street, Whiteville, NC 28472 | 2007-06-20 |
1568667418 | Ismael Montes | Respiratory Therapist, Registered | 1014 N. Jk Powell Boulevard, Whiteville, NC 28472 | 2007-06-20 |
Find all providers in zip 28472 |
Taxonomy Code | 293D00000X |
Grouping | Laboratories |
Classification | Physiological Laboratory |
A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457336174 | Waccamaw Ultrasound & Diagnostics, Inc. | Physiological Laboratory | 619 Jefferson St, Whiteville, NC 28472-3707 | 2005-12-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457980401 | Duke University Health System | Physiological Laboratory | 401 Irving Pkwy Ste 120, Holly Springs, NC 27540-5301 | 2020-04-02 |
1457725889 | Braincare, LLC | Physiological Laboratory | 401 N Tryon St, Ste 1120, Charlotte, NC 28202-2196 | 2015-11-23 |
1164846010 | Southern Diagnostic Imaging, Inc. | Physiological Laboratory | 10 Parkside Pl, Asheville, NC 28804-1324 | 2014-02-13 |
1154656411 | Regional Health Diagnostics Inc | Physiological Laboratory | 38 Office Park Dr, Jacksonville, NC 28546-3217 | 2009-10-05 |
1710136791 | Durham Vamc/duke University Medical Center | Physiological Laboratory | Msrb II 106 Research Dr, Room 2018, Durham, NC 27710-0001 | 2008-09-15 |
1598959934 | Pinnacle Health Services of North Carolina, LLC | Physiological Laboratory | 839 Durham Rd, Suite A, Wake Forest, NC 27587-8793 | 2007-08-29 |
1780714220 | Metrolina Sleep Services, LLC | Physiological Laboratory | 6428 Bannington Rd, Suite A, Charlotte, NC 28226-1327 | 2007-03-06 |
1780784520 | Cga, Inc. | Physiological Laboratory | 3905 Skipton Ct, Raleigh, NC 27606-4448 | 2006-09-22 |
1265538342 | Carolina Vascular Laboratory | Physiological Laboratory | 420 5th Ave W, Suite 100, Hendersonville, NC 28739-4202 | 2006-09-15 |
1457300089 | Pinnacle Health Services of North Carolina LLC | Physiological Laboratory | 1212 Cedarhurst Dr, Raleigh, NC 27609-5587 | 2006-05-10 |
Find all providers with the same taxonomy |
City | WHITEVILLE |
Zip Code | 28472 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.