Provider Demographics
NPI:1669834131
Name:CHATHAM IMAGING SERVICES OF PITTSBORO, LLC
Entity Type:Organization
Organization Name:CHATHAM IMAGING SERVICES OF PITTSBORO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:BUNCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-799-4007
Mailing Address - Street 1:475 PROGRESS BLVD
Mailing Address - Street 2:
Mailing Address - City:SILER CITY
Mailing Address - State:NC
Mailing Address - Zip Code:27344-6787
Mailing Address - Country:US
Mailing Address - Phone:919-799-4001
Mailing Address - Fax:
Practice Address - Street 1:75 FREEDOM PARKWAY
Practice Address - Street 2:
Practice Address - City:PITTSBORO
Practice Address - State:NC
Practice Address - Zip Code:27312
Practice Address - Country:US
Practice Address - Phone:984-215-3252
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHATHAM HOSPITAL INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-03-24
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory
No261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology