Provider Demographics
NPI:1598736738
Name:ROCKINGHAM IMAGING PA
Entity Type:Organization
Organization Name:ROCKINGHAM IMAGING PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:CALL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:336-623-6522
Mailing Address - Street 1:608G LINDEN DR
Mailing Address - Street 2:
Mailing Address - City:EDEN
Mailing Address - State:NC
Mailing Address - Zip Code:27288
Mailing Address - Country:US
Mailing Address - Phone:336-623-6522
Mailing Address - Fax:336-623-7087
Practice Address - Street 1:608G LINDEN DR
Practice Address - Street 2:
Practice Address - City:EDEN
Practice Address - State:NC
Practice Address - Zip Code:27288
Practice Address - Country:US
Practice Address - Phone:336-623-6522
Practice Address - Fax:336-623-7087
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
02267OtherBLUE CROSS
NC8902267Medicaid
NC8902267Medicaid