Provider Demographics
NPI:1609911924
Name:SILVERSMITHS INC
Entity Type:Organization
Organization Name:SILVERSMITHS INC
Other - Org Name:RADIOLOGY EXPRESS MEDICAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:R
Authorized Official - Last Name:WALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-298-2182
Mailing Address - Street 1:13 N LESLIE LN
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28805-1455
Mailing Address - Country:US
Mailing Address - Phone:828-298-2182
Mailing Address - Fax:828-298-2182
Practice Address - Street 1:13 N LESLIE LN
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28805-1455
Practice Address - Country:US
Practice Address - Phone:828-298-2182
Practice Address - Fax:828-298-2182
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2010-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3409817Medicaid
NC3409817Medicaid