PDI HEALTH NC LLC (NPI# 1952956195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952956195 |
| Entity Type | Organization |
| Organization Name | PDI HEALTH NC LLC |
| Practice Address |
6047 Tyvola Glen Cir Charlotte NC 28217-6431 |
| Mailing Address |
12 Spencer St Brooklyn NY 11205-1891 |
| Practice Telephone | 8007499729 |
| Mailing Telephone | 8007499729 |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2019-08-05 |
| Authorized Official Name | MENACHEM TAUBER (CEO) |
| Authorized Official Telephone | 8007499729 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | Suppliers |
| Other Name | Type Code |
|---|---|
| Preventive Diagnostics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780239921 | Pdi Health Nc LLC | Clinic/Center | 6047 Tyvola Glen Cir, Charlotte, NC 28217-6431 | 2019-08-05 |
| Street Address |
6047 TYVOLA GLEN CIR |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28217-6431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659434934 | Home Health Enterprises, Inc | Home Infusion | 6047 Tyvola Glen Cir, #134, Charlotte, NC 28217-6431 | 2006-12-18 |
| 1780239921 | Pdi Health Nc LLC | Clinic/Center | 6047 Tyvola Glen Cir, Charlotte, NC 28217-6431 | 2019-08-05 |
| 1144676768 | Skycare Services LLC | Counselor | 6047 Tyvola Glen Cir, Charlotte, NC 28217-6431 | 2016-05-12 |
| 1144674953 | Integrity Care Services Inc. | Non-emergency Medical Transport (VAN) | 6047 Tyvola Glen Cir, Suite 112, Charlotte, NC 28217-6431 | 2016-04-18 |
| 1215212691 | Nicholas Wieczorek | Internal Medicine | 6047 Tyvola Glen Cir, Charlotte, NC 28217-6431 | 2011-10-17 |
| 1407153026 | Alternative Transitions of The Carolinas | Home Health | 6047 Tyvola Glen Cir, Charlotte, NC 28217-6431 | 2011-02-16 |
| 1427171644 | Alternative Transitions of The Carolinas, Inc | Home Health | 6047 Tyvola Glen Cir, Suite 216, Charlotte, NC 28217-6431 | 2007-04-10 |
| 1275696429 | Home Health Enterprises, Inc | Nursing Care | 6047 Tyvola Glen Cir, #134, Charlotte, NC 28217-6431 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962017798 | Kelby Rae Hurlocker | Specialist/Technologist | 500 Center Park Dr, Charlotte, NC 28217 | 2020-09-09 |
| 1356967749 | Optum Pharmacy 701, LLC | Pharmacy | 4015 Shopton Rd, Suite 600, Charlotte, NC 28217 | 2020-06-22 |
| 1598302937 | Brigit Boyce | Occupational Therapist | 8848 Red Oak Blvd, Ste Aa, Charlotte, NC 28217 | 2019-12-04 |
| 1275016933 | Zarah Pulfrey | Physician Assistant | Womack Medical Center, 2817 Riley Road, Fort Bragg, NC 28217 | 2018-09-10 |
| 1972085918 | Dynamic Health Medical Group Pllc | Pain Medicine | 4705 South Blvd, Charlotte, NC 28217 | 2018-09-06 |
| 1184102048 | Charday Caple | Counselor | 735 Echodale Dr, Charlotte, NC 28217 | 2018-08-02 |
| 1326532250 | Dupont Livery LLC | Non-emergency Medical Transport (VAN) | 4200 S Tryon St, Charlotte, NC 28217 | 2018-06-14 |
| 1891215232 | Lakesha Shamise Welch | Counselor | 5709 South Hampton R., Charlotte, NC 28217 | 2017-06-27 |
| 1245768282 | Allison Harris Lafone | Counselor | 515 Clanton Road, Charlotte, NC 28217 | 2017-06-02 |
| 1619416906 | Charlie Randolph Taylor Jr. | Counselor | 517 Clanton Road, Charlotte, NC 28217 | 2017-02-20 |
| Find all providers in zip 28217 | ||||
| Taxonomy Code | 335V00000X |
| Grouping | Suppliers |
| Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497293773 | Invision Diagnostics, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 11220 Elm Ln, Suite 200, Charlotte, NC 28277-0715 | 2017-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821616046 | A4l (us), Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 401 Harrison Oaks Blvd Ste 100, Cary, NC 27513-2412 | 2020-07-14 |
| 1013461250 | Usb Distributor Services, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 8544 Foxbridge Dr, Matthews, NC 28104-7885 | 2016-08-04 |
| 1700060456 | Mcgraw Mobile Xray, Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 726 Ramsey St Ste 10, Fayetteville, NC 28301-4705 | 2007-12-18 |
| 1922131200 | North Carolina Mobile Ultrasound | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2554 Lewisville-clemmons Road, Suite 201, Box 11, Clemmons, NC 27012-8110 | 2007-03-14 |
| 1558494815 | North Carolina Digital Imaging, Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2554 Lewisville - Clemmons Road, Suite 201, Box 11, Clemmons, NC 27102-8110 | 2007-03-14 |
| 1336299338 | National Mobile X-ray LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 251 Dominion Drive 112, Morrisville, NC 27560 | 2007-01-11 |
| 1366517146 | Mmds of Kingsport, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 88a Little Knob Rd, Asheville, NC 28803-9646 | 2006-11-21 |
| 1407950199 | Mobile Visions Ins | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 7820 N Point Blvd, Suite 101, Winston Salem, NC 27106-3299 | 2006-09-12 |
| 1780637751 | North Carolina Digital Imaging, Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1317 Ashleybrook Ln, Winston Salem, NC 27103-2918 | 2006-05-18 |
| 1245228162 | Carol Lloyd, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 30 Rosscraggon Rd, Suite Aa, Asheville, NC 28803-2102 | 2005-10-13 |
| Find all providers with the same taxonomy | ||||
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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.