Provider Demographics
NPI:1326377664
Name:PRESBYTERIAN MOBILE IMAGING LLC
Entity Type:Organization
Organization Name:PRESBYTERIAN MOBILE IMAGING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EVP/CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:OTTIS DEAN
Authorized Official - Last Name:SWINDLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-718-2014
Mailing Address - Street 1:PO BOX 60598
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-0598
Mailing Address - Country:US
Mailing Address - Phone:704-384-1580
Mailing Address - Fax:
Practice Address - Street 1:8401 MEDICAL PLAZA DR
Practice Address - Street 2:SUITE 110
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28262-8797
Practice Address - Country:US
Practice Address - Phone:704-384-1580
Practice Address - Fax:704-384-1563
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-16
Last Update Date:2010-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty