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

Mecklenburg Diagnostic Imaging LLC

Organization Diagnostic Radiology Physician · NPI 1215080536

Mecklenburg Diagnostic Imaging LLC is a Diagnostic Radiology Physician in Mooresville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

118 Gateway Blvd Ste E
Mooresville, NC 28117-6542
Phone: (704) 662-8580
Fax: (704) 662-8846
Show map & directions

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 number1215080536
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Geoffrey Gardner — Svp Finance And Revenue Cycle · (336) 718-2078
Other names Novant Health Imaging Mooresville
NPI enumeratedJanuary 19, 2007
Last updated in NPPESMarch 19, 2024
Certification dateMarch 19, 2024
Mailing addressPo Box 603543, Charlotte, NC 28260-3543

Other providers in Mooresville