Provider Demographics
NPI:1093765851
Name:CAROLINAS IMAGING SERVICES LLC
Entity Type:Organization
Organization Name:CAROLINAS IMAGING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LINDSAY
Authorized Official - Middle Name:
Authorized Official - Last Name:MUNS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-362-5391
Mailing Address - Street 1:700 E MOREHEAD ST STE 300
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28202-2742
Mailing Address - Country:US
Mailing Address - Phone:704-362-5391
Mailing Address - Fax:
Practice Address - Street 1:409 OLIN WAY STE 1000
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:NC
Practice Address - Zip Code:28037-9243
Practice Address - Country:US
Practice Address - Phone:704-464-5704
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-11
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
No293D00000XLaboratoriesPhysiological LaboratoryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCNPB186Medicaid
NC2881771AMedicare PIN
NC2881771DMedicare PIN
NC2881771CMedicare PIN
NC2881771Medicare PIN
NC89015HMMedicaid
NC8105029Medicaid
SCQ356780001Medicare PIN
NC2881771DMedicare PIN
NC2881771Medicare PIN