Provider Demographics
NPI:1245228162
Name:CAROL LLOYD, INC.
Entity Type:Organization
Organization Name:CAROL LLOYD, INC.
Other - Org Name:MMDS OF ASHEVILLE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LLOYD
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-242-0640
Mailing Address - Street 1:30 ROSSCRAGGON RD
Mailing Address - Street 2:SUITE AA
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-2102
Mailing Address - Country:US
Mailing Address - Phone:828-242-0640
Mailing Address - Fax:828-274-8502
Practice Address - Street 1:30 ROSSCRAGGON RD
Practice Address - Street 2:SUITE AA
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-2102
Practice Address - Country:US
Practice Address - Phone:828-277-6664
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-13
Last Update Date:2008-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00226706OtherRAILROAD MEDICARE
P00226706OtherRAILROAD MEDICARE