Provider Demographics
NPI:1427205079
Name:SUNSET IMAGING,LLC
Entity Type:Organization
Organization Name:SUNSET IMAGING,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:DEMIR
Authorized Official - Middle Name:EROL
Authorized Official - Last Name:BASTUG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:910-575-7862
Mailing Address - Street 1:PO BOX 7717
Mailing Address - Street 2:
Mailing Address - City:OCEAN ISLE BEACH
Mailing Address - State:NC
Mailing Address - Zip Code:28469-1717
Mailing Address - Country:US
Mailing Address - Phone:910-575-7862
Mailing Address - Fax:910-575-7866
Practice Address - Street 1:25 UNION SCHOOL RD NW
Practice Address - Street 2:
Practice Address - City:OCEAN ISLE BEACH
Practice Address - State:NC
Practice Address - Zip Code:28469-7307
Practice Address - Country:US
Practice Address - Phone:910-575-7862
Practice Address - Fax:910-575-7866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-26
Last Update Date:2008-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2881826AMedicare PIN