Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mecklenburg Diagnostic Imaging LLC

Organization Diagnostic Radiology Physician · NPI 1093773384

Mecklenburg Diagnostic Imaging LLC is a Diagnostic Radiology Physician in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6324 Fairview Rd Ste 120 A
Charlotte, NC 28210-3200
Phone: (704) 362-8444
Fax: (704) 362-3557
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X (NC)

Record details

NPI number1093773384
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Geoffrey Gardner — Svp Finance And Revenue Cycle · (336) 718-2078
Other names Novant Health Imaging Southpark
NPI enumeratedMay 3, 2006
Last updated in NPPESMarch 19, 2024
Certification dateMarch 19, 2024
Mailing addressPo Box 603543, Charlotte, NC 28260-3543

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