Provider Demographics
NPI:1275837262
Name:MS IMAGING PLLC
Entity Type:Organization
Organization Name:MS IMAGING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MBR
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:MOSURE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:919-488-5808
Mailing Address - Street 1:11550 COMMON OAKS DR
Mailing Address - Street 2:STE 110
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27614-8093
Mailing Address - Country:US
Mailing Address - Phone:919-488-5808
Mailing Address - Fax:919-488-5810
Practice Address - Street 1:11550 COMMON OAKS DR
Practice Address - Street 2:STE 110
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27614-8093
Practice Address - Country:US
Practice Address - Phone:919-488-5808
Practice Address - Fax:919-488-5810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-05
Last Update Date:2011-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty