Provider Demographics
NPI:1275847279
Name:EASTERN RADIOLOGISTS, INC
Entity Type:Organization
Organization Name:EASTERN RADIOLOGISTS, INC
Other - Org Name:EASTERN RADIOLOGISTS, INC WASHINGTON
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:KUSZYK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:252-752-5000
Mailing Address - Street 1:PO BOX 30750
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27833-0750
Mailing Address - Country:US
Mailing Address - Phone:252-752-5000
Mailing Address - Fax:252-931-7694
Practice Address - Street 1:630 E 11TH ST
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:NC
Practice Address - Zip Code:27889-3700
Practice Address - Country:US
Practice Address - Phone:252-946-2137
Practice Address - Fax:252-931-7694
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-02
Last Update Date:2022-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty