Provider Demographics
NPI:1629176409
Name:CENTRAL IMAGING & RADIOLOGY, PA
Entity Type:Organization
Organization Name:CENTRAL IMAGING & RADIOLOGY, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RANDALL
Authorized Official - Middle Name:K
Authorized Official - Last Name:SATHER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:919-969-8983
Mailing Address - Street 1:100 EUROPA DR
Mailing Address - Street 2:SUITE 417
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-2357
Mailing Address - Country:US
Mailing Address - Phone:919-969-8983
Mailing Address - Fax:919-932-4453
Practice Address - Street 1:100 EUROPA DR
Practice Address - Street 2:SUITE 417
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517-2357
Practice Address - Country:US
Practice Address - Phone:919-969-8983
Practice Address - Fax:919-932-4453
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2008-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCC81064Medicare UPIN